Provider Demographics
NPI:1376214734
Name:ARMSTEAD, DESTINEE QUINSHAE (RBT)
Entity Type:Individual
Prefix:
First Name:DESTINEE
Middle Name:QUINSHAE
Last Name:ARMSTEAD
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2345 W BUCKINGHAM RD APT 2087
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75042-4965
Mailing Address - Country:US
Mailing Address - Phone:972-358-3802
Mailing Address - Fax:
Practice Address - Street 1:5133 S FM 549
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75032-9178
Practice Address - Country:US
Practice Address - Phone:469-458-9021
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-24
Last Update Date:2021-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst