MEDICARE: DESTINEE NIKOLE PERRY BCBA,LBA

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
1	103K00000X	Behavior Analyst	L-1076	LA

General Provider Information

NPI Number	:	1912858168
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DESTINEE NIKOLE PERRY BCBA,LBA

Provider Business Mailing Address
First Line	:	1304 BERTRAND DR STE E3
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70506-9105
Country	:	US
Telephone Number	:	337-962-1987
Fax Number	:	844-364-1683

Provider Business Practice Location Address
First Line	:	1304 BERTRAND DR STE E3
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70506-9105
Country	:	US
Telephone Number	:	337-962-1987
Fax Number	:	844-364-1683

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/04/2026
Last Update Date	:	02/04/2026

Similar Medicare Providers

1275733248 — MS. ANISA MARIE AL-JABI LCSW
Practice Location Address:

1304 BERTRAND DR , STE E6
LAFAYETTE, LA
70506-9105

Practice Phone: 337-237-1353
Practice Fax: 337-237-1353

1851693220 — PRECISION DIAGNOSTICS LLC
Practice Location Address:

1304 BERTRAND DR STE E8
LAFAYETTE, LA
70506-9105

Practice Phone: 337-739-5577
Practice Fax:

1811346877 — LEON C WINTERS LCSW-BACS
Practice Location Address:

1304 BERTRAND DR STE E3
LAFAYETTE, LA
70506-9105

Practice Phone: 337-962-1987
Practice Fax: 844-364-1683

1003317637 — THERESE KIRKPATRICK I LMSW
Practice Location Address:

1304 BERTRAND DR STE E3
LAFAYETTE, LA
70506-9105

Practice Phone: 337-962-1987
Practice Fax:

1760023485 — ERIN MORGAN
Practice Location Address:

1304 BERTRAND DR STE E3
LAFAYETTE, LA
70506-9105

Practice Phone: 337-962-1987
Practice Fax:

1235775859 — TRELES LAYNE MHP
Practice Location Address:

1304 BERTRAND DR STE E3
LAFAYETTE, LA
70506-9105

Practice Phone: 337-962-1987
Practice Fax: 844-364-1683

Directions to “ DESTINEE NIKOLE PERRY BCBA,LBA” 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.