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Jung In Park

Behavior Analyst in Santa Ana, CA. Individual provider (NPI-1).

NPI number1164063616
StatusActive
Last updated in NPPESApr 5, 2026

Details

NPI
1164063616
Entity type
Individual (NPI-1)
Name
Jung In Park
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 7, 2019
Certification date
Apr 5, 2026
Last updated
Apr 5, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst1-22-59122CAYes

Practice location

555 Parkcenter Dr Ste 115
Santa Ana, CA 92705-3521

Phone 714-310-4377

Mailing address

555 Parkcenter Dr Ste 115
Santa Ana, CA 92705-3521

Phone 714-310-4377

Other practice locations

2573 Coventry Cir
Fullerton, CA 92833-1263

Phone 615-829-2937

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