Individual
CARRIE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA, NY-LBA
Contact information
Practice address
2312 SECANE RD, SECANE, PA 19018-2810
(267) 564-5717
Mailing address
2 PAULA ST, EAST NORTHPORT, NY 11731-5023
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-14040
—
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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