Provider Demographics
NPI:1912141318
Name:PARKER-SINGLER, SUSAN A (MS, BCBA)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:A
Last Name:PARKER-SINGLER
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7200 5TH AVE N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33710-7530
Mailing Address - Country:US
Mailing Address - Phone:727-418-6748
Mailing Address - Fax:727-289-3074
Practice Address - Street 1:7200 5TH AVE N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33710-7530
Practice Address - Country:US
Practice Address - Phone:727-418-6748
Practice Address - Fax:727-289-3074
Is Sole Proprietor?:No
Enumeration Date:2009-04-29
Last Update Date:2014-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0000040103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst