Individual
DESTINY VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
3993 LAWRENCEVILLE HWY NW STE 110, LILBURN, GA 30047-2831
(404) 868-9646
Mailing address
3179 FLOWERS RD S APT M, ATLANTA, GA 30341-5674
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-439655
GA
Other
Enumeration date
11/10/2025
Last updated
11/19/2025
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