Active NPI
Kenisha Anne Parker, NONE
- Behavior Analyst
- San Antonio, TX
National Provider Identifier
1730801762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-25-78975
- Practice address
- 13772 Old FM 471 W
San Antonio, TX 78253-2001 - Phone
- (210) 964-5565
- NPI assigned
- Sep 15, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | 1-25-78975 | TX | Primary |
Addresses
Primary practice location
13772 Old FM 471 W
San Antonio, TX 78253-2001
Mailing address
227 N Loop 1604 E Ste 150
San Antonio, TX 78232-1450
Phone (210) 761-3504
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": "1663200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739145600000",
"number": "1730801762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "227 N LOOP 1604 E STE 150",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782321450",
"telephone_number": "210-761-3504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13772 OLD FM 471 W",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782532001",
"telephone_number": "210-964-5565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "KENISHA",
"middle_name": "ANNE",
"credential": "NONE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-15",
"last_updated": "2025-02-10",
"certification_date": "2025-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "1-25-78975",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.