Maylor, Destiney

Maylor, Destiney is an individual health care provider with primary practice located at 285 Country Club Dr Ste 300 , Stockbridge GA 30281-7355. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Maylor, Destiney can be contacted via phone (470) 944-1025.

Contact Information

Primary practice address
285 Country Club Dr Ste 300 Stockbridge GA 30281-7355
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-23-66087 Georgia
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-19-103261 Georgia

Profile Details

NPI number 1770118945
LBN Legal business name Maylor, Destiney
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2020
Last updated Jun 8th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1770118945 NPPES
Georgia MEDICAID 1-23-66087
Georgia Other RBT-19-103261

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