Destiny Waller
Behavior Technician in Anchorage, AK. Individual provider (NPI-1).
NPI number1336656248
StatusActive
Last updated in NPPESJan 2, 2018
Details
- NPI
- 1336656248
- Entity type
- Individual (NPI-1)
- Name
- Destiny Waller
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 2, 2018
- Last updated
- Jan 2, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
2217 E Tudor Rd Ste 3Anchorage, AK 99507-1068
Phone 907-301-5471
Mailing address
Po Box 771606Eagle River, AK 99577-1606
Phone 907-301-5471
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All 504 Behavior Technician providers in Anchorage · All 15,067 providers in Anchorage
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