| Provider / Organization | NPI | Date Certified |
|---|---|---|
| HEE PARK | 1841857273 | 2022-08-09 |
Hee Park is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1841857273. Registration indicates Hee Park is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, ) (Behavioral Health & Social Service Providers, Assistant Behavior Analyst) (Assistant Behavior Analyst, Behavioral Health & Social Service Providers) (Assistant Behavior Analyst, )
| Entity Type | Individual |
| Provider Name | Hee Park |
| Practice Office Address | 12625 WYNDHAM WEST DR GLEN ALLEN, VA US |
| Practice Office Telephone | 9167594298 |
| Mailing Address | 7108 S KANNER HWY STUART, FL 349977462 US |
| Code | Practice | License No State |
|---|---|---|
| 106S00000X | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician | RBT-19-87471
VA |
| 106E00000X PRIMARY | Behavioral Health & Social Service Providers Assistant Behavior Analyst Assistant Behavior Analyst Behavioral Health & Social Service Providers Assistant Behavior Analyst | 0134000449
VA |