Individual
DESTINY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
14055 CEDAR RD FL 3, CLEVELAND, OH 44118-3337
(317) 721-8884
Mailing address
14055 CEDAR RD FL 3, CLEVELAND, OH 44118-3337
(317) 721-8884
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-498942
IL
Other
Enumeration date
08/05/2026
Last updated
08/05/2026
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