JOHN PARK
NPI 1073087938
Behavior Analyst in San Diego, CA

Q: What is John Park's NPI number?

The NPI number for John Park is 1073087938. It was assigned to this individual provider in the NPPES registry on January 14, 2019.

Q: What is John Park's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Q: When was this NPI record last updated?

The NPPES record for John Park was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 14, 2019

3685 KEARNY VILLA RD, SAN DIEGO, CA 92123(858) 505-9083 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 4, 2024, Sep 8, 2023, Feb 8, 2021 and 1 more (4 updates tracked since 2019).

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About John Park NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN PARK (NPI 1073087938) is an individual behavior analyst provider in San Diego, California, licensed in California (1-23-63823) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1073087938

Entity TypeIndividualMale

Primary Taxonomy103K00000X

Provider Legal NameJOHN PARK

Location Address3685 KEARNY VILLA RDSan Diego, CA 92123-1950

Mailing Address3685 Kearny Villa RdSan Diego, CA 92123-1950

Phone(858) 505-9083

Sole ProprietorNo

Enumeration DateJanuary 14, 2019

Last NPPES UpdateApril 28, 20254 updates tracked since enumeration

NPPES CertifiedApril 28, 2025

✔ NPI 1073087938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in CA · 1-23-63823

Definition

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

3685 KEARNY VILLA RD, San Diego, CA 92123

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Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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