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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KRISTY LEE PARK, BCBA

Active Sole Proprietor

DR. KRISTY LEE PARK, BCBA is a Behavior Analyst healthcare provider located in CENTREVILLE, Virginia. NPI 1649508516 is currently active in the NPPES registry. Verify at CMS.

Behavior Analyst · CENTREVILLE, VA

Registration Details

NPI Number
1649508516
Provider Type
Individual
Gender
Female
NPI Issued
Dec 3, 2009 (16.678173559331 yrs)
Last Updated
Dec 3, 2009
License
1-06-2674 (VA)
Sole Proprietor
Yes

Practice Information

Address
13962 SAWTEETH WAY
CENTREVILLE, VA, 201213032
Browse VA providers · Browse ZIP 20121
Phone
7036754211
Primary Specialty
Behavior Analyst
103K00000X

Other Behavior Analyst Providers in CENTREVILLE, VA

Name Credential NPI
MRS. AMANDA FAITH BOETTCHER 1538311394
PATRICIA SCHNABEL BCBA 1801197702
KAITLYN MARIE TAYLOR BCBA 1134479223
MS. NIMO SHEIKH-ADAM 1104304724
NIDDA ASIF MAHR 1497212930
AMANDA ELIASOPH 1407417579
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.