DESTINEE FORT

Behavior Technician

Active Individual
NPI: 1760365621

Practice Address

19853 OUTER DR
Dearborn, MI 48124

Phone: (313) 406-5056

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes -

Frequently Asked Questions

NPI 1760365621 is the National Provider Identifier for DESTINEE FORT, a Behavior Technician provider located in Dearborn, MI. This NPI was enumerated on July 29, 2025.
DESTINEE FORT practices at 19853 OUTER DR, Dearborn, MI 48124.

Quick Facts

NPI
1760365621
Type
Individual
Enumerated
Jul 29, 2025
Last Updated
Jul 29, 2025

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