Most Relevant Information
Provider Data
| NPI Number: | 1003409236 |
| Provider Name: | JUANITA MARIE PARRIS |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | BACB558868 |
Most Important Dates
| Enumeration Date: | 02/18/2021 |
| Last Updated: | 02/18/2021 |
Provider Practice Location
2906 HIGHWAY AVE
HIGHLAND
IN
463221631
Practice Location Phone/Fax
| Phone: | 2195138311 |
| Fax: |
Provider Mailing Location
836 EATON ST
HAMMOND
IN
463202508
Provider Mailing Phone/Fax
| Phone: | 2193186115 |
| Fax: |