IndividualActive
Destin Mizelle
NPI 1619539277 · Behavior Technician · Newnan, GA
Destin Mizelle is a Behavior Technician provider in Newnan, GA (NPI 1619539277).
Provider details
- NPI number
- 1619539277
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- RBT-19-91537 (GA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
225 Millard Farmer Ind Blvd Ste 100
Newnan, GA 30263-3168
Phone: (470) 400-3177
Fax: (904) 538-0714
Approximate (ZIP-level) locationGet directions
Mailing address
10175 Fortune Pkwy Unit 903
Jacksonville, FL 32256-6755
Registry dates
- Enumerated
- 2019-07-03
- Last updated
- 2019-07-03
Frequently asked questions
- What is Destin Mizelle's NPI number?
- Destin Mizelle's National Provider Identifier (NPI) is 1619539277, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Destin Mizelle's specialty?
- Destin Mizelle is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Destin Mizelle located?
- Destin Mizelle's practice location on file with NPPES is 225 Millard Farmer Ind Blvd Ste 100, Newnan, GA 30263-3168.
- What is Destin Mizelle's phone number?
- The practice phone number listed in the NPPES registry for Destin Mizelle is (470) 400-3177.
- Is Destin Mizelle's NPI active?
- Yes — Destin Mizelle's NPI (1619539277) is active in the NPPES registry as of the last update on 2019-07-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.