MEDICARE: DESTINY ABED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1275476335
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DESTINY ABED

Provider Business Mailing Address
First Line	:	81 MARKHAM ST
Second Line	:
City	:	MIDDLETOWN
State	:	CT
Zip	:	06457-3527
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	55 WINDING BROOK DR
Second Line	:	SUITE 1040
City	:	GLASTONBURY
State	:	CT
Zip	:	06033
Country	:	US
Telephone Number	:	888-754-0398
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2026
Last Update Date	:	04/13/2026

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Directions to “ DESTINY ABED ” Practice Location

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