Individual provider Active NPI

Emma Park

  • Behavior Analyst
  • Conway, AR
National Provider Identifier
1952263147
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
3025 Fountain Dr
Conway, AR 72034-3689
Phone
(501) 269-1656
Fax
(501) 325-1255
NPI assigned
Nov 26, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X AR Primary

Addresses

Primary practice location

3025 Fountain Dr
Conway, AR 72034-3689

Mailing address

3025 Fountain Dr Ste 100
Conway, AR 72034-3690
Phone (501) 269-1656

Other practice location 1

4300 Rogers Ave Ste 24
Fort Smith, AR 72903-3152
Phone (479) 867-4988

Other practice location 2

1509 N Pierce St
Little Rock, AR 72207-5203
Phone (501) 554-6899

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

NPI Registry JSON

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

{
    "created_epoch": "1764115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1952263147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 FOUNTAIN DR STE 100",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720343690",
            "telephone_number": "501-269-1656",
            "fax_number": "501-325-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 FOUNTAIN DR",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720343689",
            "telephone_number": "501-269-1656",
            "fax_number": "501-325-1255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4300 Rogers Ave Ste 24",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729033152",
            "country_code": "US",
            "telephone_number": "479-867-4988",
            "fax_number": "501-325-1255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1509 N Pierce St",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722075203",
            "country_code": "US",
            "telephone_number": "501-554-6899",
            "fax_number": "501-325-1255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK",
        "first_name": "EMMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-26",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.