Dustin Tripp Parks

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

BACB715721 Issued in NC

Practice address

525 N Tryon St
Charlotte, NC 28202-0202

Phone

(855) 832-6727

NPI assigned

Mar 9, 2023

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1235839044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 N TRYON ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282020202",
            "telephone_number": "855-832-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N TRYON ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282020202",
            "telephone_number": "855-832-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "DUSTIN",
        "middle_name": "TRIPP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "NC",
            "license": "BACB715721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parkland Residential Care
• Balrie Parks-Dixon, M.ED. COUNSELING
• Alneesah Parks, MSW, LCSWA
• Ashley Parks, LCMHC, LCAS
• Breanne Parks, PT, DPT
• Kimberly Ruth Spencer Parks, PTA
• Lachanda Clotiel Parks Sr., LCAS-A
• Leslie Goins Parks, M.ED, LPC
• Mark Lanasa Parks, CPHT
• Samantha Parks, MD

• Assistant Behavior Analyst in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Assistant Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.