Individual provider · Type 1 NPI
Destiny Johnson
Developmental Therapist · Worcester, MA
Practice location
345A Greenwich Street Suite B
Worcester, MA 01607
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | S14817940 (MA) |
Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…
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About NPI 1598201006
Destiny Johnson's National Provider Identifier is 1598201006, issued on Jan 9, 2017. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Worcester, MA. The record was last updated on Jan 9, 2017.