Destiny Small

Behavior Technician · Kathleen, GA

Individual Active NPI

NPI number 1366135154

Practice location

110 Hidesta Ct
Kathleen, GA 31047-5355
Phone
(478) 919-8010

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NPI record

NPI
1366135154
Entity type
Individual (Type 1)
Enumeration date
May 30, 2023
Last updated
May 30, 2023
Certified
May 30, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — GA

Mailing address

7108 S Kanner Hwy
Stuart, FL 34997-7462

About Destiny Small

Destiny Small is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 110 Hidesta Ct, Kathleen, GA 31047-5355. The NPI number 1366135154 was assigned on May 30, 2023 and the record was last updated on May 30, 2023.

Frequently asked questions

What is the NPI number of Destiny Small?

The NPI number is 1366135154.

What is the phone number of Destiny Small?

The phone number listed for the practice location is (478) 919-8010.

Where is Destiny Small located?

110 Hidesta Ct, Kathleen, GA 31047-5355.

What is the taxonomy code for Destiny Small?

The primary taxonomy code is 106S00000X – Behavior Technician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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