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NPI Code Detail

MEDICARE: DESTINY PINKOWSKI

MEDICARE: DESTINY PINKOWSKI
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1700749645
Entity Type Code : Individual
Provider Name (Legal Business Name) : DESTINY PINKOWSKI
Provider Business Mailing Address
First Line : 10475 CROSSPOINT BLVD STE 250
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46256-3387
Country : US
Telephone Number : 462-205-0087
Fax Number :
Provider Business Practice Location Address
First Line : 10475 CROSSPOINT BLVD STE 250
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46256-3387
Country : US
Telephone Number : 462-205-0087
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2025
Last Update Date : 12/08/2025

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Directions to “ DESTINY PINKOWSKI ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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