Provider Demographics
NPI:1609537380
Name:PEDONE, DESTINY TAYLOR
Entity type:Individual
Prefix:MRS
First Name:DESTINY
Middle Name:TAYLOR
Last Name:PEDONE
Suffix:
Gender:
Credentials:
Other - Prefix:MISS
Other - First Name:DESTINY
Other - Middle Name:TAYLOR
Other - Last Name:CRAWFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8040 PRAISE DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33625-3744
Mailing Address - Country:US
Mailing Address - Phone:773-454-1571
Mailing Address - Fax:813-688-0528
Practice Address - Street 1:8040 PRAISE DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33625-3744
Practice Address - Country:US
Practice Address - Phone:773-454-1571
Practice Address - Fax:813-688-0528
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-05
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty