IndividualActive
Destiny Waller
NPI 1336656248 · Behavior Technician · Anchorage, AK
Provider details
- NPI number
- 1336656248
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2217 E Tudor Rd Ste 3
Anchorage, AK 99507-1068
Phone: (907) 301-5471
Street-level locationGet directions
Mailing address
Po Box 771606
Eagle River, AK 99577-1606
Registry dates
- Enumerated
- 2018-01-02
- Last updated
- 2018-01-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.