MEDICARE: CHRISTINA 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	1-18-31293	OK

General Provider Information

NPI Number	:	1528347440
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA PARKER BCBA

Provider Business Mailing Address
First Line	:	1101 N BIRCH AVE
Second Line	:
City	:	BROKEN ARROW
State	:	OK
Zip	:	74012-2694
Country	:	US
Telephone Number	:	501-328-3274
Fax Number	:

Provider Business Practice Location Address
First Line	:	1101 N BIRCH AVE
Second Line	:
City	:	BROKEN ARROW
State	:	OK
Zip	:	74012-2694
Country	:	US
Telephone Number	:	501-328-3274
Fax Number	:

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

Provider Enumeration Date	:	08/09/2011
Last Update Date	:	02/09/2026

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Directions to “ CHRISTINA PARKER BCBA” Practice Location

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