Ellen Park, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

4235 S Stream Blvd Ste 300
Charlotte, NC 28217-0143

Phone

(980) 785-1113

NPI assigned

Dec 16, 2020

Sex

Female

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

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1316533029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 DRAGONFLY TRL",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275179503",
            "telephone_number": "224-522-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4235 S STREAM BLVD STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282170143",
            "telephone_number": "980-785-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "ELLEN",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-16",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Anthony Parisi, PH.D.
• Park Cedar Dentistry Partnership (Park Cedar Dentistry)
• Park Road Health and Wellness Inc
• Park Village Rehab and Health, Inc. (Peak Resources Charlotte)
• Carolyn Jean Park, MD
• Esther Jane Park, PHARM.D.
• Jenny Park
• Ji Hee Park, PHARMD
• Timothy Park, M.D.
• Parker & Co. Wellness Group, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; 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.