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NPI Code Detail

MEDICARE: DESTINY FRINK

MEDICARE: DESTINY FRINK
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 Technician

General Provider Information

NPI Number : 1669286225
Entity Type Code : Individual
Provider Name (Legal Business Name) : DESTINY FRINK
Provider Business Mailing Address
First Line : 420 HAWTHORNE LN
Second Line :
City : CHARLOTTE
State : NC
Zip : 28204-2312
Country : US
Telephone Number : 704-780-4271
Fax Number :
Provider Business Practice Location Address
First Line : 420 HAWTHORNE LN
Second Line :
City : CHARLOTTE
State : NC
Zip : 28204-2312
Country : US
Telephone Number : 704-780-4271
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2025
Last Update Date : 01/13/2026

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Directions to “ DESTINY FRINK ” Practice Location

Language Start Address Practice Location
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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