Jeffrey Howard Park

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

7340 S 2345 W
West Jordan, UT 84084-3106

Phone

(385) 420-2546

NPI assigned

Jun 22, 2020

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

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1609492073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7340 S 2345 W",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840843106",
            "telephone_number": "385-420-2546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7340 S 2345 W",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840843106",
            "telephone_number": "385-420-2546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "JEFFREY",
        "middle_name": "HOWARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-22",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shane Angelique Paje
• Stuart Palmer Jr., CSW
• Heather Panek, RN
• Avril Pardo Guerra
• Jessica Parenteau, RN
• Lynae Armitstead Park, RRT
• Shane Byron Park
• Parke Family Senior Care
• Parke Family Senior Care Inc.
• Barton Giauque Parker, D.D.S.

• Behavior Technician in West Jordan, UT
• Providers in West Jordan, UT by specialty
• Behavior Technician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; 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.