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NPI Code Detail

MEDICARE: BRAYLEIGH PARKER

MEDICARE: BRAYLEIGH PARKER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianRBT-25-459208MO

General Provider Information

NPI Number : 1023992278
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRAYLEIGH PARKER
Provider Business Mailing Address
First Line : 120 SW GARDEN ST
Second Line :
City : GRAIN VALLEY
State : MO
Zip : 64029-9548
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 120 SW GARDEN ST
Second Line :
City : GRAIN VALLEY
State : MO
Zip : 64029-9548
Country : US
Telephone Number : 816-265-1170
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2025
Last Update Date : 08/01/2025

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Directions to “ BRAYLEIGH PARKER ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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