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Destiney Lamore Heard

Behavior Technician in Mableton, GA. Individual provider (NPI-1).

NPI number1225870959
StatusActive
Last updated in NPPESJun 12, 2024

Details

NPI
1225870959
Entity type
Individual (NPI-1)
Name
Destiney Lamore Heard
Sex
Female
Sole proprietor
No
Enumeration date
Jun 12, 2024
Certification date
Jun 12, 2024
Last updated
Jun 12, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

90 Nellie Brook Dr Sw
Mableton, GA 30126-4435

Phone 912-224-2375

Mailing address

90 Nellie Brook Dr Sw
Mableton, GA 30126-4435

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Other Behavior Technician providers in Mableton, GA

All 6 Behavior Technician providers in Mableton · All 422 providers in Mableton

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