Individual
JESSICA LYNN PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
14886 US HIGHWAY 17, HAMPSTEAD, NC 28443-3217
(910) 945-3709
Mailing address
212 SANDY COVE LN, SNEADS FERRY, NC 28460-0169
(910) 833-2682
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2104
NC
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
RBT-19-90221
MO
2080P0006X
Developmental - Behavioral Pediatrics Physician
0-23-14270
NC
Other
Enumeration date
09/30/2019
Last updated
03/30/2026
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