Healthcare Provider Details

I. General information

NPI: 1063036440
Provider Name (Legal Business Name): MARY KATHERINE JILL PARMER M.ED, BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARY KATE JILL PARMER

II. Dates (important events)

Enumeration Date: 06/02/2020
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

113 SEABOARD LN STE 100C
FRANKLIN TN
37067-2858
US

IV. Provider business mailing address

542 AMHERST ST STE B
NASHUA NH
03063-1016
US

V. Phone/Fax

Practice location:
  • Phone: 561-609-0770
  • Fax:
Mailing address:
  • Phone: 561-609-0770
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-24-74889
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: