Individual
DESTINY GOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11030 JONES BRIDGE RD STE 310, JOHNS CREEK, GA 30022-4560
(678) 691-2206
Mailing address
2579 GAMBRELL LN, DULUTH, GA 30097-4816
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
GA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/07/2021
Last updated
08/06/2025
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