Active NPI
Destiny Myisha Parker
- Assistant Behavior Analyst
- Rancho Cordova, CA
National Provider Identifier
1750127080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- Practice address
- 10390 Coloma Rd Ste a
Rancho Cordova, CA 95670-2152 - Phone
- (877) 910-6538
- NPI assigned
- Jul 5, 2024
- 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 | Primary |
Addresses
Primary practice location
10390 Coloma Rd Ste a
Rancho Cordova, CA 95670-2152
Mailing address
5517 Cabrillo Way
Rocklin, CA 95765-5148
Phone (917) 912-3823
Other names 1
- Destiny Myisha Parker
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": "1720137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720137600000",
"number": "1750127080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5517 CABRILLO WAY",
"city": "ROCKLIN",
"state": "CA",
"postal_code": "957655148",
"telephone_number": "917-912-3823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10390 COLOMA RD STE A",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956702152",
"telephone_number": "877-910-6538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "DESTINY",
"middle_name": "MYISHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-05",
"last_updated": "2024-07-05",
"certification_date": "2024-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DESTINY",
"last_name": "PARKER",
"middle_name": "MYISHA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Rancho Cordova, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.