Individual provider Active NPI

Noelle Monique Parker

  • Behavior Analyst
  • Forty Fort, PA
National Provider Identifier
1114448883
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BH005289 Issued in PA
Practice address
1003 Wyoming Ave
Forty Fort, PA 18704-4002
Phone
(570) 846-0455
NPI assigned
Jul 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BH005289 PA Primary
Behavior Technician 106S00000X

Addresses

Primary practice location

1003 Wyoming Ave
Forty Fort, PA 18704-4002

Mailing address

1003 Wyoming Ave
Forty Fort, PA 18704-4002
Phone (570) 846-0455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
BH005289PAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond Behavior Consulting Behavior Analyst CurrentSince Nov 21, 2021 Accepting new patients
Beyond Behavior Consulting Behavior Analyst PastSince Mar 21, 2021 Accepting new patients

Locations

1003 Wyoming Ave
Kingston, PA 18704
Phone (570) 764-0300

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1499040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1114448883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 WYOMING AVE",
            "city": "FORTY FORT",
            "state": "PA",
            "postal_code": "187044002",
            "telephone_number": "570-846-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 WYOMING AVE",
            "city": "FORTY FORT",
            "state": "PA",
            "postal_code": "187044002",
            "telephone_number": "570-846-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "NOELLE",
        "middle_name": "MONIQUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-03",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH005289",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forty Fort, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.