Individual
DESTINY RYALS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15644 DONNINGTON DR, CHARLOTTE, NC 28277-1694
(704) 752-1859
Mailing address
9556 BLUE KNOLL CT, CHARLOTTE, NC 28215-0202
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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