Mary Parker

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

290 Paradise Blvd Apt 17
Indialantic, FL 32903

Phone

(321) 446-4096

NPI assigned

Dec 29, 2016

Last updated

Dec 29, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1482969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482969600000",
    "number": "1043755036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 PARADISE BLVD",
            "address_2": "APT 17",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329032444",
            "telephone_number": "321-446-4096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 PARADISE BLVD APT 17",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "32903",
            "telephone_number": "321-446-4096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "MARY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-29",
        "last_updated": "2016-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Optique Unique
• PA Associates 'LLC.'
• Daniel Palm, MD
• Renee Palmer-Smith, PHD
• Danielle Christin Palsis, PHARM.D.
• Jital Patel, OTR/L, BCTS
• Barbara Michele Paulillo, PSY.D.
• Peregrine Health Services LLC
• Zeda Perez Tully
• Eric R Peters, PHARM.D.

• Behavior Technician in Indialantic, FL
• Providers in Indialantic, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.