Takiiah Parker, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

LBA0000000593 Issued in TN

Practice address

711 Jefferson Ave
Memphis, TN 38105-5003

Phone

(901) 584-8281

NPI assigned

Feb 19, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Takiiah Holman Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Autism Centers of Tennessee

  • Behavior Analyst
  • Germantown, TN
  • NPI 1134731821
  NPD

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

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1780140376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6685 QUINCE RD STE 120",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381198037",
            "telephone_number": "901-567-5361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 JEFFERSON AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381055003",
            "telephone_number": "901-584-8281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "TAKIIAH",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-19",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TN",
            "license": "LBA0000000593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAKIIAH",
            "last_name": "HOLMAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Remi T Parker, MD
• Robert Barbour Parker, PHARM.D.
• Robert Scott Parker II, MD
• Shalyndria Parker, LPC-MHSP
• Sheronda Parker, B.S.
• Tanya Y Parker
• Wendi Parker
• Parker'S Pharm
• Parkers Pharm Dba Highland Heights Pharmacy
• Sarah Parkerson, MD

• Behavior Analyst in Memphis, TN
• Providers in Memphis, TN by specialty
• Behavior Analyst in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.