Destiny Nikole Zamudio

NPI #1598464885 in Raytown, Missouri

Provider Information

NPI Number: 1598464885
Entity Type: Individual
Name: Destiny Nikole Zamudio
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Feb 27, 2023
Last Updated: Feb 27, 2023

Practice Location

Address: 7005 HUNTER ST
City: Raytown
State: Missouri
ZIP Code: 64133-5635
Phone: (816) 482-2779

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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