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ELLEN PARK BCBA, LBA
NPI 1316533029
Behavior Analyst in Charlotte, NC

Active since December 16, 2020
4235 S STREAM BLVD STE 300, CHARLOTTE, NC 28217(980) 785-1113 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 2, 2025, Dec 16, 2020 (2 updates tracked since 2020).

About Ellen Park Bcba, Lba NPPES

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

ELLEN PARK BCBA, LBA (NPI 1316533029) is an individual behavior analyst provider in Charlotte, North Carolina and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1316533029
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameELLEN PARKCredential: BCBA, LBA
Location Address4235 S STREAM BLVD STE 300Charlotte, NC 28217-0143
Mailing Address410 Dragonfly TrlChapel Hill, NC 27517-9503 · (224) 522-9790
Phone(980) 785-1113
Sole ProprietorNo
Enumeration DateDecember 16, 2020
Last NPPES UpdateDecember 2, 20252 updates tracked since enumeration
NPPES CertifiedDecember 2, 2025
✔ NPI 1316533029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
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.
4235 S STREAM BLVD STE 300, Charlotte, NC 28217
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ellen Park's NPI number?

The NPI number for Ellen Park is 1316533029. It was assigned to this individual provider in the NPPES registry on December 16, 2020.

Where is Ellen Park located?

Ellen Park practices at 4235 S Stream Blvd Ste 300, Charlotte, NC 28217. The listed phone number is (980) 785-1113.

What is Ellen Park's specialty?

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

What insurance does Ellen Park accept?

Health plans from Blue Cross and Blue Shield of NC list Ellen Park as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ellen Park was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.