Provider Demographics
NPI:1326845595
Name:MERE, DESTINY DANAE (RBT)
Entity type:Individual
Prefix:
First Name:DESTINY
Middle Name:DANAE
Last Name:MERE
Suffix:
Gender:
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 E NINE MILE RD STE A
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32514-2774
Mailing Address - Country:US
Mailing Address - Phone:985-413-8127
Mailing Address - Fax:850-466-0024
Practice Address - Street 1:321 E NINE MILE RD STE A
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32514-2774
Practice Address - Country:US
Practice Address - Phone:985-413-8127
Practice Address - Fax:850-466-0024
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-26
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician