DR. Kristy Lee Park, BCBA

NPI #1649508516 in Centreville, Virginia

Provider Information

NPI Number: 1649508516
Entity Type: Individual
Name: DR. Kristy Lee Park, BCBA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Credential: BCBA
Enumeration Date: Dec 3, 2009
Last Updated: Dec 3, 2009

Practice Location

Address: 13962 SAWTEETH WAY
City: Centreville
State: Virginia
ZIP Code: 20121-3032
Phone: (703) 675-4211

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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