Individual
DESTINY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1233 EAGLES LANDING PKWY STE A, STOCKBRIDGE, GA 30281-6399
(470) 231-1149
(615) 815-1946
Mailing address
1321 MURFREESBORO PIKE STE 410, NASHVILLE, TN 37217-2665
(615) 696-6316
(615) 815-1946
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-280501
GA
Other
Enumeration date
07/07/2023
Last updated
07/07/2023
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