Destiny Gaston
Behavior Technician in Davie, FL. Individual provider (NPI-1).
NPI number1245046887
StatusActive
Last updated in NPPESDec 9, 2024
Details
- NPI
- 1245046887
- Entity type
- Individual (NPI-1)
- Name
- Destiny Gaston
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 9, 2024
- Certification date
- Dec 6, 2024
- Last updated
- Dec 9, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
| 103K00000X | Behavior Analyst | – | – | |
| 106E00000X | Assistant Behavior Analyst | – | – |
Practice location
8001 Sw 36th St Ste 9Davie, FL 33328-1915
Phone 954-577-7790 · Fax 954-577-7780
Mailing address
8001 Sw 36th St Ste 9Davie, FL 33328-1915
Phone 954-577-7790 · Fax 954-577-7780
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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