Search › Wisconsin › 103K00000X
Destiny Phernetton, M.S ., BCBA
NPI 1245886761 · on the registry since 2019
Practice
- Address
- 5325 Wall St Ste 1000
Madison, WI 53718 - Phone
- (855) 444-5664
- Organisation at this address
- Lakeside Counseling Center, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 71
Additional practice sites
- 3113 W Beltline Hwy Ste 300, Madison, WI
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 106S00000X
- Licence states on file
- IN, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-07-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin