NPI 1013670678
Destiny Belisle
Practice location
- Address
- 1750 Commerce Center Blvd, Fairborn, OH 45324-6333
- Phone
- (303) 989-8169
Registered specialties
Behavior Technician
Primary
Registry record
- NPI
- 1013670678
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 20 Oct 2021
- Record last updated
- 20 Oct 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.