Mr Andy Park, BCBA is a
Behavior Analyst based in San Leandro, California. Mr Andy Park is licensed to practice in California (license number 1-21-56691) and his current practice location is
13847 E 14th St Ste 217, San Leandro, California. He can be reached at his office (for appointments etc.) via phone at
(888) 805-0759.
NPI number for Mr Andy Park is 1558868588 and his current mailing address is 1333 S Mayflower Ave Ste 220, Monrovia, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1558868588.
Healthcare Provider's Profile
| Full Name | Mr Andy Park |
|---|
| Gender | Male |
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| Speciality | Behavior Analyst |
|---|
| Location | 13847 E 14th St Ste 217, San Leandro, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1558868588
- Provider Enumeration Date: 04/06/2018
- Last Update Date: 12/21/2021
Medical Identifiers
Medical identifiers for Mr Andy Park such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558868588 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | 1-21-56691 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Andy Park is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Andy Park, BCBA
1333 S Mayflower Ave Ste 220,
Monrovia, CA 91016-4066
Ph: (888) 805-0759 | Mr Andy Park, BCBA
13847 E 14th St Ste 217,
San Leandro, CA 94578-2626
Ph: (888) 805-0759 |
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