CHARLOTTE PARK
NPI 1124840178
Behavior Technician in Fremont, CA

Q: What is Charlotte Park's NPI number?

The NPI number for Charlotte Park is 1124840178. It was assigned to this individual provider in the NPPES registry on October 30, 2024.

Q: What is Charlotte Park's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

Q: When was this NPI record last updated?

The NPPES record for Charlotte Park was last updated on October 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 30, 2024

39210 STATE ST STE 220, FREMONT, CA 94538(510) 894-4135 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Charlotte Park NPPES

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

CHARLOTTE PARK (NPI 1124840178) is an individual behavior technician in Fremont, California, licensed in California (46-1305562) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1124840178

Entity TypeIndividualFemale

Primary Taxonomy106S00000X

Provider Legal NameCHARLOTTE PARK

Location Address39210 STATE ST STE 220Fremont, CA 94538-1456

Mailing Address208 Barbara DrLos Gatos, CA 95032-4041

Phone(510) 894-4135

Sole ProprietorNo

Enumeration DateOctober 30, 2024

NPPES CertifiedOctober 30, 2024

✔ NPI 1124840178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers

Taxonomy Code106S00000X

License✔ Licensed in CA · 46-1305562

Definition

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

39210 STATE ST STE 220, Fremont, CA 94538

Open in Google Maps ↗