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Individual

DESTINY A KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA, LBA

Contact information

Practice address
820 DANA CT, GLASGOW, KY 42141-8753
(270) 535-8593
Mailing address
820 DANA CT, GLASGOW, KY 42141-8753
(270) 535-8593

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-64172
KY
103K00000X
Behavior Analyst
283881
KY
103K00000X
Behavior Analyst
308
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1396443750
CARELON BEHAVIORAL HEALTH, INC
KY
01
1396443750
UNITED BEHAVIORAL HEALTH/US BEHAVIORAL HEALTH PLAN, CALIFORNIA/LIFEERA, INC.
05
7100881450
KY
Enumeration date
02/15/2023
Last updated
02/13/2024
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