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NPI Code Detail

MEDICARE: DESTINY DIONISIE NORRIS

MEDICARE: DESTINY DIONISIE NORRIS
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1386361897
Entity Type Code : Individual
Provider Name (Legal Business Name) : DESTINY DIONISIE NORRIS
Provider Business Mailing Address
First Line : 1711 CENTRAL AVE
Second Line :
City : SUMMERVILLE
State : SC
Zip : 29483-9320
Country : US
Telephone Number : 843-460-2605
Fax Number :
Provider Business Practice Location Address
First Line : 1711 CENTRAL AVE
Second Line :
City : SUMMERVILLE
State : SC
Zip : 29483-9320
Country : US
Telephone Number : 843-460-2605
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2022
Last Update Date : 10/25/2022

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Directions to “ DESTINY DIONISIE NORRIS ” 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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