Individual
DESTINY WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
137 JOHNSON FERRY RD STE 2170, MARIETTA, GA 30068-4948
(470) 648-0513
Mailing address
137 JOHNSON FERRY RD STE 2170, MARIETTA, GA 30068-4948
(470) 648-0513
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-179538
GA
Other
Enumeration date
08/10/2021
Last updated
01/25/2024
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