MR. ANDY PARK BCBA
NPI 1558868588
Behavior Analyst in San Leandro, CA

Active since April 06, 2018
13847 E 14TH ST STE 217, SAN LEANDRO, CA 94578(888) 805-0759 Get Directions Write a Review

NPPES record last updated: December 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Andy Park Bcba NPPES

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

MR. ANDY PARK BCBA (NPI 1558868588) is an individual behavior analyst provider in San Leandro, California, licensed in California (1-21-56691) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1558868588
Entity TypeIndividualMale
Primary Taxonomy103K00000X
Provider Legal NameMR. ANDY PARKCredential: BCBA
Location Address13847 E 14TH ST STE 217San Leandro, CA 94578-2626
Mailing Address1333 S Mayflower Ave Ste 220Monrovia, CA 91016-4066 · (888) 805-0759
Sole ProprietorYes
Enumeration DateApril 6, 2018
Last NPPES UpdateDecember 21, 2021
NPPES CertifiedDecember 21, 2021
NPI 1558868588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License Licensed in CA · 1-21-56691
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.
Also ListedCounselorTaxonomy 101Y00000X
13847 E 14TH ST STE 217, San Leandro, CA 94578

Other Providers at the Same Location NPPES 5

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

Behavior Analyst
13847 E 14TH ST STE 217
SAN LEANDRO, CA 94578
Behavior Technician
13847 E 14TH ST STE 217
SAN LEANDRO, CA 94578
Behavior Technician
13847 E 14TH ST STE 217
SAN LEANDRO, CA 94578
Behavior Technician
13847 E 14TH ST STE 217
SAN LEANDRO, CA 94578
Behavior Technician
13847 E 14TH ST STE 217
SAN LEANDRO, CA 94578

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 Andy Park's NPI number?

The NPI number for Andy Park is 1558868588. It was assigned to this individual provider in the NPPES registry on April 6, 2018.

Where is Andy Park located?

Andy Park practices at 13847 E 14th St Ste 217, San Leandro, CA 94578. The listed phone number is (888) 805-0759.

What is Andy Park's specialty?

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

When was this NPI record last updated?

The NPPES record for Andy Park was last updated on December 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.