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NPI Code Detail

MEDICARE: JACQUELINE PARRA

MEDICARE: JACQUELINE PARRA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician
2103K00000XBehavior Analyst

General Provider Information

NPI Number : 1417434135
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACQUELINE PARRA
Provider Business Mailing Address
First Line : 7500 SAN FELIPE ST STE 990
Second Line :
City : HOUSTON
State : TX
Zip : 77063-1708
Country : US
Telephone Number : 281-826-3382
Fax Number : 425-491-7683
Provider Business Practice Location Address
First Line : 3215 W RAY RD
Second Line :
City : CHANDLER
State : AZ
Zip : 85226-2425
Country : US
Telephone Number : 480-893-7685
Fax Number : 480-546-4198
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2018
Last Update Date : 10/26/2023

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Directions to “ JACQUELINE PARRA ” Practice Location

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