Jane Park

Behavior Analyst · Woodstock, GA

Individual Active NPI

NPI number 1316574551

Practice location

3032 Trickum Rd
Woodstock, GA 30188-1822
Phone
(770) 855-7165

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NPI record

NPI
1316574551
Entity type
Individual (Type 1)
Enumeration date
March 26, 2020
Last updated
April 1, 2024
Certified
April 1, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X 1-20-41914 GA

Mailing address

2230 Towne Lake Pkwy
Woodstock, GA 30189-5540

About Jane Park

Jane Park is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 3032 Trickum Rd, Woodstock, GA 30188-1822. The NPI number 1316574551 was assigned on March 26, 2020 and the record was last updated on April 1, 2024.

Jane Park lists a license in the registry: #1-20-41914 (GA) for Behavior Analyst. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jane Park?

The NPI number is 1316574551.

What is the phone number of Jane Park?

The phone number listed for the practice location is (770) 855-7165.

Where is Jane Park located?

3032 Trickum Rd, Woodstock, GA 30188-1822.

What is the taxonomy code for Jane Park?

The primary taxonomy code is 103K00000X – Behavior Analyst.

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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