Destiny Small

NPI #1366135154 in Kathleen, Georgia

Provider Information

NPI Number: 1366135154
Entity Type: Individual
Name: Destiny Small
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: May 30, 2023
Last Updated: May 30, 2023

Practice Location

Address: 110 HIDESTA CT
City: Kathleen
State: Georgia
ZIP Code: 31047-5355
Phone: (478) 919-8010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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