Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELLEN PARK, BCBA, LBA
ActiveELLEN PARK, BCBA, LBA is a Behavior Analyst healthcare provider located in CHARLOTTE, North Carolina. NPI 1316533029 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · CHARLOTTE, NC
Registration Details
- NPI Number
- 1316533029
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 16, 2020 (5.6198645471956 yrs)
- Last Updated
- Dec 2, 2025
Practice Information
- Address
-
4235 S STREAM BLVD STE 300CHARLOTTE, NC, 282170143Browse NC providers · Browse ZIP 28217
- Phone
- 9807851113
- Primary Specialty
-
Behavior Analyst
103K00000X
Other Behavior Analyst Providers in CHARLOTTE, NC
| Name | Credential | NPI |
|---|---|---|
| JERRI LATASHA GALLAHAR | — | 1043397748 |
| RACHEL CHANCY SHUE | — | 1023287240 |
| MR. THADIUS LEONARD BONAPART III | — | 1447490735 |
| KEONNA MCDOUGALD | MAT | 1194950014 |
| MS. ALYSON G. SHAFFER | M.ED., BCBA | 1598090607 |
| MS. TAMMATHY BURRIS SADLER | — | 1144555848 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.