Makendo Destine
Behavior Technician in Lynn, Massachusetts
1003635822- Practice location
- 72 Newhall St, Lynn, MA 01902-3425
- Phone
- 857-468-2233
- Fax
- —
- Last updated
- October 8, 2024
Makendo Destine is a Behavior Technician based in Lynn, MA. Makendo Destine practices in Lynn, MA. The NPI Number for Makendo Destine is 1003635822. The current practice location address for Makendo Destine is 72 Newhall St, Lynn, MA 01902-3425 and can be reached out via phone at 857-468-2233.
Provider Profile Details
- NPI Number
- 1003635822
- Provider Name
- Makendo Destine
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 72 Newhall St, Lynn, MA 01902-3425
- Phone Number
- 857-468-2233
- Primary Taxonomy
- Behavior Technician · 106S00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 8, 2024
- Last Update Date
- October 8, 2024
- Certification Date
- October 8, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 72 Newhall St
Lynn, MA 01902-3425 - City
- Lynn
- State
- Massachusetts
- Zip
- 01902-3425
- Phone Number
- 857-468-2233
Provider Business Mailing Address Details
- Address
- 72 Newhall St
Lynn, MA 01902-3425 - City
- Lynn
- State
- MA
- Zip
- 01902-3425
License Information
- Taxonomy
- Behavior Technician · 106S00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Makendo Destine?
The NPI number of Makendo Destine is 1003635822. It was assigned on October 8, 2024 and is currently active in the NPPES registry.
What is the specialty of Makendo Destine?
Makendo Destine is registered under the primary taxonomy Behavior Technician (code 106S00000X).
Where does Makendo Destine practice?
The practice location is 72 Newhall St, Lynn, MA 01902-3425. The office can be reached at 857-468-2233 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003635822 directly on the NPPES registry website.