Soh Park
Behavior Analyst in Rockville, MD. Individual provider (NPI-1).
NPI number1982140091
StatusActive
Last updated in NPPESAug 13, 2025
Details
- NPI
- 1982140091
- Entity type
- Individual (NPI-1)
- Name
- Soh Park
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 12, 2017
- Certification date
- Aug 13, 2025
- Last updated
- Aug 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-16-23954 | MD | Yes |
| 101YM0800X | Counselor, Mental Health | 1-16-23954 | PA |
Practice location
7529 Standish Pl Ste 355Rockville, MD 20855-2733
Phone 301-444-5001
Mailing address
5760 Bensalem BlvdBensalem, PA 19020-3326
Phone 410-713-9102
Other practice locations
336 W Passaic St
Rochelle Park, NJ 07662-3027
Rochelle Park, NJ 07662-3027
Phone 201-549-8661
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