Deztinee Adiyah Allen
Individual provider Active NPI Behavior Technician · Greensboro, NC
NPI 1033701412 · NPPES record last updated Feb 8, 2021
Key facts
- NPI
- 1033701412
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 111 Pomona Dr Ste G
Greensboro, NC 27407-1636 - Phone
- (336) 558-2329
- NPI assigned
- Feb 8, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
111 Pomona Dr Ste G
Greensboro, NC 27407-1636
Mailing address
1055 E Colorado Blvd Ste 560
Pasadena, CA 91106-2380
Phone (818) 241-6780
Other providers in Greensboro, NC
- Caroline Crowe Allen
- Cassandra Jean Allen
- Celeste H Allen
- Cheneta Allen
- David Morrison Allen
- Lania Allen
- Mary Ann Allen
- Sandra Jean Allen
- Shawntel Allen
- Stefanie Allen
All providers in Greensboro, NC · Behavior Technician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.