Waller, Destiny

Waller, Destiny is an individual health care provider with primary practice located at 2217 E Tudor Rd Ste 3 , Anchorage AK 99507-1068. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Waller, Destiny can be contacted via phone (907) 301-5471.

Contact Information

Primary practice address
2217 E Tudor Rd Ste 3 Anchorage AK 99507-1068
Phone: (907) 301-5471
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1336656248
LBN Legal business name Waller, Destiny
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2018
Last updated Jan 2nd, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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