Individual
DESTINY ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 N PARK TRL STE 123, STOCKBRIDGE, GA 30281-7373
(470) 491-2050
Mailing address
322 N 4TH ST, GRIFFIN, GA 30223-3260
(678) 724-2067
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/16/2023
Last updated
08/01/2023
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