Individual
DESTINY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 BRANCHVIEW DR NE STE 215, CONCORD, NC 28025-2239
(704) 780-4271
Mailing address
900 BRANCHVIEW DR NE STE 215, CONCORD, NC 28025-2239
(704) 780-4271
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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