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Destiny Antanay-lamarria Fordham, BS
Prosthetics Case Management in Wayne, Michigan
NPI 1558874081

Destiny Antanay-lamarria Fordham is a Prosthetics Case Management based in Wayne, MI and is specialized in Prosthetics Case Management. Destiny Antanay-lamarria Fordham practices in Wayne, MI and has the professional credentials of BS. The NPI Number for Destiny Antanay-lamarria Fordham is 1558874081 and holds a License No. (Michigan).

The current practice location address for Destiny Antanay-lamarria Fordham is 35425 W. Michigan Ave, Wayne, MI and can be reached out via phone at 734-467-7600.

Location: 35425 W. Michigan Ave, Wayne, MI, 48184-9800
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558874081
Provider Name
Destiny Antanay-lamarria Fordham
Credential
BS
Provider Entity Type
Individual
Gender
Female
Address
35425 W. Michigan Ave, Wayne, MI, 48184-9800
Phone Number
734-467-7600
Fax Number
Provider Enumeration Date
11/06/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
35425 W. Michigan Ave
City
Wayne
State
Michigan
Zip
48184
Phone Number
734-467-7600
Fax Number
person
Provider Business Mailing Address Details
Address
35425 W. Michigan Ave
City
Wayne
State
Michigan
Zip
48184
Phone Number
734-467-7600
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Behavior Analyst
Speciality
-
Taxonomy
103K00000X
License No.
()
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
person
Provider's Taxonomy Details 2
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
-
Taxonomy
156F00000X
License No.
()
Definition
A broad category grouping different kinds of technologists and technicians. See individual definitions.
person
Provider's Taxonomy Details 3
Type
Other Service Providers
Classification
Specialist
Speciality
Prosthetics Case Management
Taxonomy
1744P3200X
License No.
()
Definition
Definition to come...
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