NPI 1043057979

Destiny Brown

Practitioner Behavior Technician Independence, MO

Practice location

Address: 4721 S Cliff Ave STE 103, Independence, MO 64055-6969
Phone: (816) 608-1995
Fax: (800) 687-5070

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence RBT-24-359477

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Registry record

NPI: 1043057979
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Jul 2024
Record last updated: 9 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.