Individual
NOELLE MONIQUE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1003 WYOMING AVE, FORTY FORT, PA 18704-4002
(570) 846-0455
Mailing address
1003 WYOMING AVE, FORTY FORT, PA 18704-4002
(570) 846-0455
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH005289
PA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/03/2017
Last updated
03/15/2021
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