Jonathan Michael Park
Jonathan Michael Park is a Behavior Technician in Bakersfield, California. Licensed in California. Registered with an NPI since 2022.
- Licensed in
- CA
- In the registry since
- 2022
Practice location Address checks out
1601 New Stine Rd Ste 195Bakersfield, CA 93309-3699
Phone: (661) 563-9392
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence RBT-22-216311 (CA) |
|---|
Record details
| NPI number | 1720704034 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 18, 2022 |
| Last updated in NPPES | October 18, 2022 |
| Certification date | October 18, 2022 |
| Mailing address | 5412 San Lucas Dr, Bakersfield, CA 93307-6858 |
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