Destiny Renea Adkins, BT
Individual provider Active NPI Behavior Technician · Mansfield, OH
NPI 1912778259 · NPPES record last updated Jan 15, 2024
Key facts
- NPI
- 1912778259
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1033 Larchwood Rd
Mansfield, OH 44907-2424 - Phone
- (419) 747-4122
- Fax
- (419) 747-4126
- NPI assigned
- Jan 15, 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
- Credentials
- Bachelor of Theology
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
1033 Larchwood Rd
Mansfield, OH 44907-2424
Mailing address
477 Agate Ave
Mansfield, OH 44907-1411
Phone (419) 512-0119
Other providers in Mansfield, OH
- Craig Stephen Adie
- Naomi Adinkrah
- Alexandria Adkins
- Brennan Timothy Adkins
- Carmen Adkins
- Vanessa Adkins
- Hussein Adly
- Advanced Dermatology of North Central Ohio Inc
- Advanced Eye Care Surgery Center LLC
- Advanced Foot and Ankle Surgeons,Inc
All providers in Mansfield, OH · Behavior Technician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2024. 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.