Individual
MS. IDA K PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDA PARKER
Contact information
Practice address
545 BOYLSTON ST, SUITE 700, BOSTON, MA 02116-3606
(508) 771-2402
Mailing address
PO BOX 935, MANOMET, MA 02345-0935
(508) 789-6570
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/29/2010
Last updated
12/29/2010
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