MEDICARE: PARKER BEHAVIORAL CONSULTING, INC.

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376891358
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARKER BEHAVIORAL CONSULTING, INC.

Provider Business Mailing Address
First Line	:	7200 5TH AVE N
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33710-7530
Country	:	US
Telephone Number	:	727-418-6748
Fax Number	:	866-240-1913

Provider Business Practice Location Address
First Line	:	7200 5TH AVE N
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33710-7530
Country	:	US
Telephone Number	:	727-418-6748
Fax Number	:	866-240-1913

Authorized Official
Title or Position	:	PRESIDENT/BEHAVIOR ANALYST
Name	:	SUSAN A PARKER-SINLGER
Credential	:	BCBA
Telephone Number	:	727-418-6748

Provider Enumeration Date	:	08/22/2012
Last Update Date	:	07/21/2021

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