Individual
PARKER DYKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
110 CORPORATE DR STE 150, JOHNSON CITY, TN 37604-2008
(423) 617-0207
(423) 617-0242
Mailing address
110 CORPORATE DR STE 150, JOHNSON CITY, TN 37604-2008
(423) 617-0207
(423) 617-0242
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/30/2022
Last updated
02/02/2024
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