Individual
DESTINY KYARA LASHAE GATTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
314 CHAPANOKE RD, RALEIGH, NC 27603-3400
(919) 773-2020
(919) 773-1044
Mailing address
314 CHAPANOKE RD, RALEIGH, NC 27603-3400
(919) 773-2020
(919) 773-1044
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-213250
NC
Other
Enumeration date
04/29/2022
Last updated
04/29/2022
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