Healthcare Provider Details

I. General information

NPI: 1346937984
Provider Name (Legal Business Name): SERENE PARKER BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2023
Last Update Date: 11/26/2024
Certification Date: 11/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1865 W 121ST AVE STE 200
DENVER CO
80234-2337
US

IV. Provider business mailing address

1865 W 121ST AVE STE 200
DENVER CO
80234-2337
US

V. Phone/Fax

Practice location:
  • Phone: 720-588-1500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: