Active NPI
Hee Park
- Assistant Behavior Analyst
- Glen Allen, VA
National Provider Identifier
1841857273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- License
- 0134000449
- Practice address
- 12625 Wyndham West Dr
Glen Allen, VA 23059-7085 - Phone
- (916) 759-4298
- NPI assigned
- May 21, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-19-87471 | VA | |
| Assistant Behavior Analyst | 106E00000X | 0134000449 | VA | Primary |
Addresses
Primary practice location
12625 Wyndham West Dr
Glen Allen, VA 23059-7085
Mailing address
7108 S Kanner Hwy
Stuart, FL 34997-7462
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0134000449 | VA | MD | Assistant Behavior Analyst |
| RBT-19-87471 | VA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660003200000",
"number": "1841857273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7108 S KANNER HWY",
"city": "STUART",
"state": "FL",
"postal_code": "349977462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12625 WYNDHAM WEST DR",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230597085",
"telephone_number": "916-759-4298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "HEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-21",
"last_updated": "2022-08-09",
"certification_date": "2022-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "VA",
"license": "RBT-19-87471",
"primary": false
},
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "VA",
"license": "0134000449",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Allen, VA
- Patricia D Owens, LPC, CSAC
- Michael Stephen Pagano, DDS
- Palmetto Long-Term Care Coalition
- Paul S Palmieri, P.T.
- Paredes Institute for Women's Imaging PC (The Ellen Shaw de Paredes Institute for Women's Imaging)
- Christina Lynn Parker
- Kathryn Christine Parker, LPC, NCC, CT
- Donald Clayton Parks, LPC, LMFT
- Madison Elizabeth Parmiter, LMSW
- Bijal M Patel, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.