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

Ellen Park, BCBA, LBA

Individual provider Behavior Analyst · NPI 1316533029

Ellen Park, BCBA, LBA is a Behavior Analyst in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2020.

Licensed in
NC
In the registry since
2020
What do these letters mean?
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

4235 S Stream Blvd Ste 300
Charlotte, NC 28217-0143
Phone: (980) 785-1113
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X (NC)

Record details

NPI number1316533029
Entity typeIndividual (Type 1)
GenderFemale
Credentials BCBA , LBA
Sole proprietorNo
NPI enumeratedDecember 16, 2020
Last updated in NPPESDecember 2, 2025
Certification dateDecember 2, 2025

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