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NPI Code Detail

MEDICARE: DR. EDWARD D. PARKER PH.D., BCBA-D

MEDICARE: DR. EDWARD D. PARKER PH.D., BCBA-D
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
1103K00000XBehavior Analyst1-09-5084

General Provider Information

NPI Number : 1831380617
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EDWARD D. PARKER PH.D., BCBA-D
Provider Business Mailing Address
First Line : 6060 N COLLEGE AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46220-1907
Country : US
Telephone Number : 317-584-5166
Fax Number : 317-815-3861
Provider Business Practice Location Address
First Line : 6060 N COLLEGE AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46220-1907
Country : US
Telephone Number : 317-584-5166
Fax Number : 317-815-3861
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2007
Last Update Date : 01/30/2020

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