Individual provider Active NPI

Pamela Maranan Parker, M.ED, LBA, BCBA

  • Behavior Analyst
  • Las Vegas, NV
National Provider Identifier
1548527609
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-20-42200 Issued in NV
Practice address
8076 W Sahara Ave Ste B
Las Vegas, NV 89117-7931
Phone
(702) 829-8929
Fax
(702) 829-8948
NPI assigned
Apr 13, 2012
Reactivated
Nov 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-20-42200 NV Primary

Addresses

Primary practice location

8076 W Sahara Ave Ste B
Las Vegas, NV 89117-7931

Mailing address

8076 W Sahara Ave Ste B
Las Vegas, NV 89117-7931
Phone (702) 829-8929

Other names 1

  • Mrs. Pamela Maranan Parker Professional name

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
Credentials
Master of Education

NPI Registry JSON

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1548527609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8076 W SAHARA AVE STE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891177931",
            "telephone_number": "702-829-8929",
            "fax_number": "702-829-8948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8076 W SAHARA AVE STE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891177931",
            "telephone_number": "702-829-8929",
            "fax_number": "702-829-8948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "PAMELA",
        "middle_name": "MARANAN",
        "name_prefix": "Mrs.",
        "credential": "M.ED, LBA, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-13",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "deactivation_date": "2018-05-02",
        "reactivation_date": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": "1-20-42200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "PARKER",
            "middle_name": "MARANAN",
            "prefix": "MRS.",
            "credential": "M.ED, LBA, BCBA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.