Destiny Faith McAllister

Individual provider Active NPI Behavior Technician · Osawatomie, KS

NPI 1396563516 · NPPES record last updated Sep 26, 2024

Key facts

NPI
1396563516
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
29875 W 339TH St
Osawatomie, KS 66064-4159
Phone
(866) 489-8799
NPI assigned
Sep 26, 2024
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)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

29875 W 339TH St
Osawatomie, KS 66064-4159

Mailing address

29875 W 339TH St
Osawatomie, KS 66064-4159
Phone (866) 489-8799

Other providers in Osawatomie, KS

All providers in Osawatomie, KS · Behavior Technician in Kansas

Sources for this page

Verify at the official NPI Registry.