Provider Demographics
NPI:1275999591
Name:PARRY BEHAVIORAL CONSULTING, LLC
Entity Type:Organization
Organization Name:PARRY BEHAVIORAL CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIOR ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:PARRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-901-8355
Mailing Address - Street 1:7962 OAKLANDON RD STE 104
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46236-7502
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7962 OAKLANDON RD STE 104
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46236-7502
Practice Address - Country:US
Practice Address - Phone:703-901-8355
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-04
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9538200-2506103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty