Healthcare Provider Details

I. General information

NPI: 1740144161
Provider Name (Legal Business Name): FIONA PARKMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9010 CANDELARIA RD NE
ALBUQUERQUE NM
87112-1212
US

IV. Provider business mailing address

9010 CANDELARIA RD NE
ALBUQUERQUE NM
87112-1212
US

V. Phone/Fax

Practice location:
  • Phone: 505-458-9568
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: