Provider Demographics
NPI:1366970808
Name:TURKOSKI, DESTINI NICOLE I
Entity type:Individual
Prefix:
First Name:DESTINI
Middle Name:NICOLE
Last Name:TURKOSKI
Suffix:I
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2215 FORMOSA AVE APT B
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-5021
Mailing Address - Country:US
Mailing Address - Phone:321-402-2333
Mailing Address - Fax:
Practice Address - Street 1:2215 FORMOSA AVE APT B
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-5021
Practice Address - Country:US
Practice Address - Phone:321-402-2333
Practice Address - Fax:321-402-2333
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-29
Last Update Date:2017-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL106E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst