MEDICARE: SERENE PARKER BCBA

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

General Provider Information

NPI Number	:	1346937984
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SERENE PARKER BCBA

Provider Business Mailing Address
First Line	:	1865 W 121ST AVE STE 200
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80234-2337
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1865 W 121ST AVE STE 200
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80234-2337
Country	:	US
Telephone Number	:	720-588-1500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2023
Last Update Date	:	11/26/2024

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Directions to “ SERENE PARKER BCBA” Practice Location

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