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

Jacqueline Park

Individual provider Behavior Technician · NPI 1235812959

Jacqueline Park is a Behavior Technician in Mukilteo, Washington. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
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Practice location Address checks out

5617 N Grove Dr
Mukilteo, WA 98275-4868
Phone: (425) 463-7992
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1235812959
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 9, 2023
Last updated in NPPESNovember 9, 2023
Certification dateNovember 9, 2023
Mailing address5617 N Grove Dr, Mukilteo, WA 98275-4868

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