Kimberley Rose Perrin, MA, OTR/L, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

7401000601 Issued in MI

Practice address

51145 Nicolette Dr
Chesterfield, MI 48047-4585

Phone

(586) 228-9991

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1912018037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51145 NICOLETTE DR",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480474585",
            "telephone_number": "586-228-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51145 NICOLETTE DR",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480474585",
            "telephone_number": "586-228-9991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3111 Electric Ave",
            "address_purpose": "LOCATION",
            "city": "Port Huron",
            "state": "MI",
            "postal_code": "480608127",
            "country_code": "US",
            "telephone_number": "810-985-8900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRIN",
        "first_name": "KIMBERLEY",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "MA, OTR/L, BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "7401000601",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201005018",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Perdue
• Hannah Perez
• Mark Allen Perius, R.D., MSA
• Donna Sue Perkins
• Takyra M Perkins
• Perry Drug Stores Inc and Subsidiaries
• Katrina Perry
• Rachel Perry
• Personal Home Care Services, Inc.
• Peter Michael Carlin

• Behavior Analyst in Chesterfield, MI
• Providers in Chesterfield, MI by specialty
• Behavior Analyst in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.