Individual
DESTINY MORELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
190 HANDLEY RD STE C, TYRONE, GA 30290-2178
(678) 904-7053
Mailing address
644 TALLULAH TRL, WARNER ROBINS, GA 31088-7625
(678) 904-7053
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-297923
GA
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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