Active NPI
Breana Denise Parker
- Assistant Behavior Analyst
- Prince Frederick, MD
National Provider Identifier
1629707005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- License
- 0-25-16598
- Practice address
- 2412 Comptrollers CT
Prince Frederick, MD 20678-4340 - Phone
- (443) 550-3232
- NPI assigned
- Jun 9, 2022
- Last updated
- Nov 5, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | 0-25-16598 | NU | Primary |
Addresses
Primary practice location
2412 Comptrollers CT
Prince Frederick, MD 20678-4340
Mailing address
850 Towbin Ave
Lakewood, NJ 08701-5928
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762300800000",
"number": "1629707005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 TOWBIN AVE",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087015928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2412 COMPTROLLERS CT",
"city": "PRINCE FREDERICK",
"state": "MD",
"postal_code": "206784340",
"telephone_number": "443-550-3232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "BREANA",
"middle_name": "DENISE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-09",
"last_updated": "2025-11-05",
"certification_date": "2025-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "NU",
"license": "0-25-16598",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prince Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.