Provider Demographics
NPI:1528347440
Name:PARKER, CHRISTINA (BA, BCABA)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:PARKER
Suffix:
Gender:F
Credentials:BA, BCABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3620 N JOSEY LN
Mailing Address - Street 2:SUITE 210
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007-3157
Mailing Address - Country:US
Mailing Address - Phone:539-777-0940
Mailing Address - Fax:469-575-3002
Practice Address - Street 1:3311 E 46TH ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-2903
Practice Address - Country:US
Practice Address - Phone:539-777-0940
Practice Address - Fax:469-575-3002
Is Sole Proprietor?:No
Enumeration Date:2011-08-09
Last Update Date:2015-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO062370120103K00000X
0-14-6243103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst