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Individual

MINJUNG NMN PARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA/LBA

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
004910
NY
106S00000X
Behavior Technician
Primary

Other

Enumeration date
07/30/2024
Last updated
03/31/2026
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