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

Mr. Andy Park, BCBA

Individual provider Counselor · NPI 1558868588

Mr. Andy Park, BCBA is a Counselor in San Leandro, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2018
Specialties on file
2
What do these letters mean?
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

13847 E 14th St Ste 217
San Leandro, CA 94578-2626
Phone: (888) 805-0759
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-21-56691 (CA)
Counselor Taxonomy 101Y00000X

Record details

NPI number1558868588
Entity typeIndividual (Type 1)
GenderMale
Credentials BCBA
Sole proprietorYes
NPI enumeratedApril 6, 2018
Last updated in NPPESDecember 21, 2021
Certification dateDecember 21, 2021

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