Healthcare Provider Details

I. General information

NPI: 1588819304
Provider Name (Legal Business Name): REBECCA A PARRISH MS, BCABA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/20/2008
Last Update Date: 11/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1525 S ALAFAYA TRL STE 101
ORLANDO FL
32828-8926
US

IV. Provider business mailing address

16515 DEER CHASE LOOP
ORLANDO FL
32828-6935
US

V. Phone/Fax

Practice location:
  • Phone: 407-382-5551
  • Fax:
Mailing address:
  • Phone: 407-697-0140
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number0-07-2335
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: