E-Destyne Carr
Behavior Technician in Miramar Beach, FL. Individual provider (NPI-1).
NPI number1750113957
StatusActive
Last updated in NPPESNov 5, 2025
Details
- NPI
- 1750113957
- Entity type
- Individual (NPI-1)
- Name
- E-Destyne Carr
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 15, 2024
- Certification date
- Nov 5, 2025
- Last updated
- Nov 5, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | FL | Yes |
Practice location
495 Grand BoulevardSuite 206
Miramar Beach, FL 32550-1408
Phone 850-348-2433
Mailing address
2101 W Highway 390 Apt 331Lynn Haven, FL 32444-6505
Phone 850-348-2433
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