Individual provider · Type 1 NPI

Ellen Park, BCBA, LBA

Behavior Analyst · Charlotte, NC

NPI number 1316533029 Active

Practice location

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

Call (980) 785-1113 Map

Mailing address

410 Dragonfly Trl
Chapel Hill, NC 27517-9503

Specialties and licenses

Taxonomy	Code	License
Behavior Analyst Primary	103K00000X	None listed

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1316533029

Ellen Park, BCBA, LBA's National Provider Identifier is 1316533029, issued on Dec 16, 2020. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Charlotte, NC. The record was last updated on Dec 2, 2025.