Amy Park

NPI #1194382143 in Grand Forks, North Dakota

Provider Information

NPI Number: 1194382143
Entity Type: Individual
Name: Amy Park
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 24, 2019
Last Updated: May 24, 2019

Practice Location

Address: 2016 S WASHINGTON ST
City: Grand Forks
State: North Dakota
ZIP Code: 58201-6342
Phone: (701) 516-3632

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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