Destiny Cheyenne Skidmore

NPI #1184490435 in Johnson City, Tennessee

Provider Information

NPI Number: 1184490435
Entity Type: Individual
Name: Destiny Cheyenne Skidmore
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 28, 2023
Last Updated: Nov 28, 2023

Practice Location

Address: 173 HIDEAWAY HILLS RD APT 28
City: Johnson City
State: Tennessee
ZIP Code: 37615-2559
Phone: (321) 353-1172

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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