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

Lisa Jieun Park

Individual provider Behavior Technician · NPI 1629763578

Lisa Jieun Park is a Behavior Technician in Los Angeles, California. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

3031 Beverly Blvd Ste 208
Los Angeles, CA 90057-1013
Phone: (323) 644-9380
Fax: (323) 644-9381
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1629763578
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 6, 2023
Last updated in NPPESApril 6, 2023
Certification dateApril 6, 2023

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