Individual
DESTINY GOODE LAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4020 TRYON PARK RD, CHARLOTTE, NC 28262-3680
(864) 436-2741
Mailing address
4020 TRYON PARK RD, CHARLOTTE, NC 28262-3680
(864) 436-2741
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/01/2025
Last updated
01/01/2025
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