Jonathan C. Park
Jonathan C. Park is a Behavior Technician in Alameda, California. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
1025 Atlantic Ave Ste 101Alameda, CA 94501-1188
Phone: (877) 910-6538
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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 number | 1881271096 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 24, 2021 |
| Last updated in NPPES | March 24, 2021 |
| Certification date | March 24, 2021 |
| Mailing address | 2117 Haste St Apt 205, Berkeley, CA 94704-2012 |
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