Healthcare Provider Details

I. General information

NPI: 1548736333
Provider Name (Legal Business Name): ELIZABETH SEABROOK TURNAGE PARKER ED.S., M.ED., BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ELIZABETH SEABROOK TURNAGE ED.S., M.ED.

II. Dates (important events)

Enumeration Date: 10/18/2018
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2544 N MAIZE CT STE 100
WICHITA KS
67205-7358
US

IV. Provider business mailing address

2544 N MAIZE CT STE 100
WICHITA KS
67205-7358
US

V. Phone/Fax

Practice location:
  • Phone: 316-201-6047
  • Fax:
Mailing address:
  • Phone: 316-201-6047
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC04827
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-18-31010
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: