Individual
DESTINY HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
413 W MONTGOMERY XRD BLDG 600, SAVANNAH, GA 31406-3364
(615) 560-6622
Mailing address
79 BURNT OAK RD, PORT WENTWORTH, GA 31407-6007
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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