Angel Park

Behavior Technician · Leesburg, VA

Individual Active NPI

NPI number 1104766294

Practice location

702 Invermere Dr NE
Leesburg, VA 20176-3614
Phone
(571) 212-5455

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NPI record

NPI
1104766294
Entity type
Individual (Type 1)
Enumeration date
March 30, 2026
Last updated
March 30, 2026
Certified
March 30, 2026
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

About Angel Park

Angel Park is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 702 Invermere Dr NE, Leesburg, VA 20176-3614. The NPI number 1104766294 was assigned on March 30, 2026 and the record was last updated on March 30, 2026.

Frequently asked questions

What is the NPI number of Angel Park?

The NPI number is 1104766294.

What is the phone number of Angel Park?

The phone number listed for the practice location is (571) 212-5455.

Where is Angel Park located?

702 Invermere Dr NE, Leesburg, VA 20176-3614.

What is the taxonomy code for Angel Park?

The primary taxonomy code is 106S00000X – Behavior Technician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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