Provider Demographics
NPI:1669749263
Name:PARKER, CATHERINE (BCBA)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:PARKER
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:232 NORTH RD
Mailing Address - Street 2:APT 14
Mailing Address - City:BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01730-1066
Mailing Address - Country:US
Mailing Address - Phone:586-362-7255
Mailing Address - Fax:
Practice Address - Street 1:300 TRADECENTER
Practice Address - Street 2:SUITE 7790
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-1883
Practice Address - Country:US
Practice Address - Phone:339-364-2282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-27
Last Update Date:2011-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst