Mrs Diana Changbin Park, LMFT, BCBA is a
Behavior Analyst based in Stockton, California. Mrs Diana Changbin Park is licensed to practice in * (Not Available) (license number ) and her current practice location is
81 W March Ln, Stockton, California. She can be reached at her office (for appointments etc.) via phone at
(877) 828-8476.
NPI number for Mrs Diana Changbin Park is 1447638036 and her current mailing address is 81 W March Ln, Stockton, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1447638036.
Healthcare Provider's Profile
Full Name | Mrs Diana Changbin Park |
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Gender | Female |
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Speciality | Behavior Analyst |
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Location | 81 W March Ln, Stockton, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1447638036
- Provider Enumeration Date: 05/14/2015
- Last Update Date: 04/08/2022
Medical Identifiers
Medical identifiers for Mrs Diana Changbin Park such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1447638036 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 85607 (California) | Secondary |
103K00000X | Behavior Analyst | (* (Not Available)) | 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. Mrs Diana Changbin 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 |
Mrs Diana Changbin Park, LMFT, BCBA 81 W March Ln, Stockton, CA 95207-5723 Ph: (877) 828-8476 | Mrs Diana Changbin Park, LMFT, BCBA 81 W March Ln, Stockton, CA 95207-5723 Ph: (877) 828-8476 |
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