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

John Park

Individual provider Behavior Analyst · NPI 1073087938

John Park is a Behavior Analyst in San Diego, California. Licensed in California. Registered with an NPI since 2019.

Licensed in
CA
In the registry since
2019

Practice location Address checks out

3685 Kearny Villa Rd
San Diego, CA 92123-1950
Phone: (858) 505-9083
Show map & directions

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

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-23-63823 (CA)

Record details

NPI number1073087938
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 14, 2019
Last updated in NPPESApril 28, 2025
Certification dateApril 28, 2025

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