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Destiny Marie Newberry

Day Training/Habilitation Specialist in Taft, CA. Individual provider (NPI-1).

NPI number1003564907
StatusActive
Last updated in NPPESMar 18, 2025

Details

NPI
1003564907
Entity type
Individual (NPI-1)
Name
Destiny Marie Newberry
Sex
Female
Sole proprietor
No
Enumeration date
Mar 10, 2022
Certification date
Mar 18, 2025
Last updated
Mar 18, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
373H00000X Day Training/Habilitation Specialist––Yes
171M00000X Case Manager/Care Coordinator–CA
172V00000X Community Health Worker––
175T00000X Peer Specialist––

Practice location

1021 4th St
Taft, CA 93268-2433

Phone 661-765-7025

Mailing address

1021 4th St
Taft, CA 93268-2433

Phone 661-765-7025

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