Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Destiny Ballard

Individual provider Behavior Technician · NPI 1508460031

Destiny Ballard is a Behavior Technician in Media, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2020.

Licensed in
PA
In the registry since
2020

Practice location Address checks out

606 E Baltimore Pike Fl 2
Media, PA 19063-1751
Phone: (610) 864-7376
Fax: (877) 599-3340
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-20-135056 (PA)

Record details

NPI number1508460031
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 25, 2020
Last updated in NPPESNovember 25, 2020
Certification dateNovember 25, 2020
Mailing address5 Revere Dr Ste 120, Northbrook, IL 60062-8005

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