Carolyn Park

NPI #1639807696 in Ashburn, Virginia

Provider Information

NPI Number
1639807696
Entity Type
Individual
Name
Carolyn Park
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Aug 9, 2022
Last Updated
Aug 9, 2022

Practice Location

Address
20130 LAKEVIEW CENTER PLZ STE 400
ZIP Code
20147-5905
Phone
(619) 795-9925

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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