Lina M Parra

Individual provider Active NPI Behavior Technician · Bogota, NJ

NPI 1154857522 · NPPES record last updated May 4, 2017

Key facts

NPI
1154857522
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
57 Pine St
Bogota, NJ 07603-1122
Phone
(201) 868-3802
NPI assigned
May 4, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

57 Pine St
Bogota, NJ 07603-1122

Mailing address

57 Pine St
Bogota, NJ 07603-1122
Phone (201) 868-3802

Other providers in Bogota, NJ

All providers in Bogota, NJ · Behavior Technician in New Jersey

Sources for this page

Verify at the official NPI Registry.