Provider Demographics
NPI:1689556854
Name:PERKINS, JA'MYA MARSHAY
Entity type:Individual
Prefix:
First Name:JA'MYA
Middle Name:MARSHAY
Last Name:PERKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30740 NORMAL ST
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48066-1610
Mailing Address - Country:US
Mailing Address - Phone:313-352-1646
Mailing Address - Fax:
Practice Address - Street 1:30740 NORMAL ST
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:MI
Practice Address - Zip Code:48066-1610
Practice Address - Country:US
Practice Address - Phone:313-352-1646
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician