Minseong Park

Behavior Technician · Fresh Meadows, NY

Individual Active NPI

NPI number 1295565075

Practice location

16110 Union Tpke Ste 2
Fresh Meadows, NY 11366-1981
Phone
(718) 215-5311
Fax
(718) 865-5165

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NPI record

NPI
1295565075
Entity type
Individual (Type 1)
Enumeration date
August 6, 2024
Last updated
August 6, 2024
Certified
August 5, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X RBT-24-332342 NY

About Minseong Park

Minseong Park is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 16110 Union Tpke Ste 2, Fresh Meadows, NY 11366-1981. The NPI number 1295565075 was assigned on August 6, 2024 and the record was last updated on August 6, 2024.

Minseong Park lists a license in the registry: #RBT-24-332342 (NY) for Behavior Technician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Minseong Park?

The NPI number is 1295565075.

What is the phone number of Minseong Park?

The phone number listed for the practice location is (718) 215-5311.

Where is Minseong Park located?

16110 Union Tpke Ste 2, Fresh Meadows, NY 11366-1981.

What is the taxonomy code for Minseong 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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