MEDICARE: PARRY BEHAVIORAL CONSULTING, LLC

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
1	103K00000X	Behavior Analyst	9538200-2506	UT

General Provider Information

NPI Number	:	1275999591
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARRY BEHAVIORAL CONSULTING, LLC

Provider Business Mailing Address
First Line	:	7962 OAKLANDON RD STE 104
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46236-7502
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7962 OAKLANDON RD STE 104
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46236-7502
Country	:	US
Telephone Number	:	703-901-8355
Fax Number	:

Authorized Official
Title or Position	:	BEHAVIOR ANALYST
Name	:	THOMAS PARRY
Credential	:
Telephone Number	:	703-901-8355

Provider Enumeration Date	:	01/04/2016
Last Update Date	:	09/11/2025

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