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NPI Code Detail

MEDICARE: DESTINI FRANCHESQUE FARRIS-NEAL

MEDICARE: DESTINI FRANCHESQUE FARRIS-NEAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianCO

General Provider Information

NPI Number : 1043096415
Entity Type Code : Individual
Provider Name (Legal Business Name) : DESTINI FRANCHESQUE FARRIS-NEAL
Provider Business Mailing Address
First Line : 2150 LELARAY ST
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80909-2808
Country : US
Telephone Number : 719-266-1000
Fax Number :
Provider Business Practice Location Address
First Line : 2150 LELARAY ST
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80909-2808
Country : US
Telephone Number : 719-266-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2023
Last Update Date : 10/08/2024

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Directions to “ DESTINI FRANCHESQUE FARRIS-NEAL ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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