JUNG IN PARK
NPI 1164063616
Behavior Analyst in Santa Ana, CA

Q: What is Jung In Park's NPI number?

The NPI number for Jung In Park is 1164063616. It was assigned to this individual provider in the NPPES registry on October 7, 2019.

Q: What is Jung In 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 Jung In Park was last updated on April 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 October 07, 2019

555 PARKCENTER DR STE 115, SANTA ANA, CA 92705(714) 310-4377 Get Directions Write a Review

NPPES record last updated: April 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 5, 2026, Jun 15, 2021, Oct 7, 2019 (3 updates tracked since 2019).

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About Jung In Park NPPES

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

JUNG IN PARK (NPI 1164063616) is an individual behavior analyst provider in Santa Ana, California, licensed in California (1-22-59122) and active in the NPI registry since October 2019. She maintains a secondary practice location in Fullerton.

NPPES Registry Identity

NPI1164063616

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameJUNG IN PARK

Location Address555 PARKCENTER DR STE 115Santa Ana, CA 92705-3521

Mailing Address555 Parkcenter Dr Ste 115Santa Ana, CA 92705-3521 · (714) 310-4377

Phone(714) 310-4377

Sole ProprietorYes

Enumeration DateOctober 7, 2019

Last NPPES UpdateApril 5, 20263 updates tracked since enumeration

NPPES CertifiedApril 5, 2026

✔ NPI 1164063616 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 · 1-22-59122

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.

555 PARKCENTER DR STE 115, Santa Ana, CA 92705

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Secondary Practice Location 1

Location 12573 Coventry CirFullerton, CA 92833-1263 · Phone (615) 829-2937

Other Providers at the Same Location NPPES 20

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

LESLIE CAROLINA ULLOA

Behavior Technician