Individual
DESTINY REWERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 RESERVATION RD LOT E02, HAYS, KS 67601-4062
(319) 243-5481
Mailing address
2691 COUNTY ROAD 36, GRINNELL, KS 67738-6107
(319) 243-5481
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
10/23/2024
Last updated
12/26/2024
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