DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DEZTINY COLEMAN

MEDICARE: DEZTINY COLEMAN
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 TechnicianLA

General Provider Information

NPI Number : 1841147618
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEZTINY COLEMAN
Provider Business Mailing Address
First Line : 350 FAIRWAY DR STE 101
Second Line :
City : DEERFIELD BEACH
State : FL
Zip : 33441-1834
Country : US
Telephone Number : 877-418-2978
Fax Number : 866-500-2186
Provider Business Practice Location Address
First Line : 11607 SOUTHFORK AVE BLDG B
Second Line :
City : BATON ROUGE
State : LA
Zip : 70816-5220
Country : US
Telephone Number : 877-418-2978
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2026
Last Update Date : 03/11/2026

Similar Medicare Providers

1942156260 — KAYLIN ALLGOOD BA, BCABA
Practice Location Address:
11607 SOUTHFORK AVE BLDG B
BATON ROUGE, LA
70816-5220
Practice Phone: 877-418-2978
Practice Fax:
1013863273 — CHLOE ANDERSON
Practice Location Address:
11607 SOUTHFORK AVE BLDG B
BATON ROUGE, LA
70816-5220
Practice Phone: 877-418-2978
Practice Fax:
1013863067 — BRINASIA BROWN
Practice Location Address:
11607 SOUTHFORK AVE BLDG B
BATON ROUGE, LA
70816-5220
Practice Phone: 504-308-1540
Practice Fax:
1578419545 — OCEAN B TURNER
Practice Location Address:
11607 SOUTHFORK AVE BLDG B
BATON ROUGE, LA
70816-5220
Practice Phone: 877-418-2978
Practice Fax:
1033066006 — MS. ADRIENNE MICHELLE CHAMBERLAIN
Practice Location Address:
11607 SOUTHFORK AVE BLDG B
BATON ROUGE, LA
70816-5220
Practice Phone: 877-418-2978
Practice Fax:
1740137504 — SHELBY CORMIER
Practice Location Address:
11607 SOUTHFORK AVE BLDG B
BATON ROUGE, LA
70816-5220
Practice Phone: 877-418-2978
Practice Fax: 866-500-2186

Directions to “ DEZTINY COLEMAN ” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.