Healthcare Provider Details

I. General information

NPI: 1063340719
Provider Name (Legal Business Name): LABARRON PERKINS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 JOSEPH E LOWERY BLVD NW
ATLANTA GA
30314-3422
US

IV. Provider business mailing address

880 GLENWOOD AVE SE
ATLANTA GA
30316-1825
US

V. Phone/Fax

Practice location:
  • Phone: 470-887-7673
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: