Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angel Park

Individual provider Behavior Technician · NPI 1104766294

Angel Park is a Behavior Technician in Leesburg, Virginia. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

702 Invermere Dr NE
Leesburg, VA 20176-3614
Phone: (571) 212-5455
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1104766294
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorYes
NPI enumeratedMarch 30, 2026
Last updated in NPPESMarch 30, 2026
Certification dateMarch 30, 2026
Mailing address702 Invermere Dr Ne, Leesburg, VA 20176-3614

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