Healthcare Provider Details

I. General information

NPI: 1538815634
Provider Name (Legal Business Name): DESTINY MICHELLE CURRY-GILES BCBA, LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/28/2022
Last Update Date: 08/22/2026
Certification Date: 08/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1030 BROOKDALE DR
EAST POINT GA
30344-2811
US

IV. Provider business mailing address

1925 GLENWOOD AVE SE UNIT 116
ATLANTA GA
30316-2347
US

V. Phone/Fax

Practice location:
  • Phone: 404-202-8492
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-2831541
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: