Individual
DESTINY BLAKENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
901 W TRADE STREET, CHARLOTTE, NC 28202-1143
(704) 440-3580
Mailing address
901 W TRADE ST, CHARLOTTE, NC 28202-1143
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-320491
—
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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