Destinee Nissen

NPI #1841844420 in Maumee, Ohio

Provider Information

NPI Number: 1841844420
Entity Type: Individual
Name: Destinee Nissen
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jul 31, 2019
Last Updated: Jul 31, 2019

Practice Location

Address: 1900 INDIAN WOOD CIR STE 100
City: Maumee
State: Ohio
ZIP Code: 43537-4033
Phone: (419) 830-0078

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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