Individual
JUNNE Y PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
155 NE FAIRGROUNDS RD, #15, BREMERTON, WA 98311-8851
(808) 391-1295
Mailing address
155 NE FAIRGROUNDS ROAD, #15, BREMERTON, WA 98311
(808) 391-1295
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0-11-4287
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0-11-4287
BEHAVIOR ANALYST CERTIFICATION BOARD
—
Enumeration date
01/25/2013
Last updated
01/25/2013
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