Provider Demographics
NPI:1669269007
Name:PARMER, ASTRA (RBT)
Entity type:Individual
Prefix:
First Name:ASTRA
Middle Name:
Last Name:PARMER
Suffix:
Gender:
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 MOUNT ST # 3D
Mailing Address - Street 2:
Mailing Address - City:RISING SUN
Mailing Address - State:MD
Mailing Address - Zip Code:21911-1989
Mailing Address - Country:US
Mailing Address - Phone:443-967-3245
Mailing Address - Fax:
Practice Address - Street 1:3035 SINGERLY RD
Practice Address - Street 2:
Practice Address - City:ELKTON
Practice Address - State:MD
Practice Address - Zip Code:21921-2647
Practice Address - Country:US
Practice Address - Phone:443-967-3245
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RBT-24-348295106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician