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

Su Ji Park

Individual provider Behavior Analyst · NPI 1659071637

Su Ji Park is a Behavior Analyst in Vienna, Virginia. Licensed in Virginia. Registered with an NPI since 2023.

Licensed in
VA
In the registry since
2023
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Practice location Address checks out

8230 Leesburg Pike Ste 740
Vienna, VA 22182-2641
Phone: (877) 504-4141
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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 1-23-64525 (VA)

Record details

NPI number1659071637
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 7, 2023
Last updated in NPPESMarch 30, 2023
Certification dateMarch 30, 2023
Mailing address24602 Siltstone Sq, Aldie, VA 20105-3001

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