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Individual

DESTINEY MAYLOR DUHANEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
7138 HIGHWAY 212, COVINGTON, GA 30016-8047
(336) 288-4768
Mailing address
285 COUNTRY CLUB DR STE 300, STOCKBRIDGE, GA 30281-7355

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-66087
GA
106S00000X
Behavior Technician
RBT-19-103261
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1-23-66087
GA
01
RBT-19-103261
RBT
GA
Enumeration date
03/09/2020
Last updated
01/09/2025
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