Ryan Jacob Parker, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-22-59750 Issued in NC

Practice address

314 Chapanoke Rd
Raleigh, NC 27603-3400

Phone

(919) 773-2020

Fax

(919) 773-1044

NPI assigned

Oct 22, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Carolina Center for Autism Services, LLC

  dba Carolina Center for ABA and Autism Treatment

  • Behavior Analyst
  • Durham, NC
  • NPI 1912069303
  NPD (past)
• The Carolina Center for ABA & Autism Treatment

  • Community/Behavioral Health Agency
  • Cary, NC
  • NPI 1184027252
  NPD (past)

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1891338810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 CHAPANOKE RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276033400",
            "telephone_number": "919-773-2020",
            "fax_number": "919-773-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 CHAPANOKE RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276033400",
            "telephone_number": "919-773-2020",
            "fax_number": "919-773-1044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Military Cutoff Rd",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284059737",
            "country_code": "US",
            "telephone_number": "910-392-0080",
            "fax_number": "910-392-7035",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "716 Marsh Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282091851",
            "country_code": "US",
            "telephone_number": "704-522-9912",
            "fax_number": "704-566-6050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "RYAN",
        "middle_name": "JACOB",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-22",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "1-22-59750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Nicole Parker
• Kelsey Parker, MS, LCMHC
• Lashaman Parker, LCSWA
• Priscilla Elizabeth Parker, RBT
• Raymond Bliss Parker Jr., D.M.D.
• Salome Williams Parker, RN
• Shequanta Latroya Parker, LCSW-A
• Sherri L Parker, PA
• Taylor Parker
• Tiffany Parker, RBT

• Behavior Analyst in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.