Individual
TAKIIAH PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
711 JEFFERSON AVE, MEMPHIS, TN 38105-5003
(901) 584-8281
Mailing address
6685 QUINCE RD STE 120, MEMPHIS, TN 38119-8037
(901) 567-5361
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA0000000593
TN
106S00000X
Behavior Technician
—
TN
Other
Enumeration date
02/19/2019
Last updated
12/08/2020
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