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Individual

JI YOUNG PARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6901 SAND POINT WAY NE, SEATTLE, WA 98115-7869
(206) 987-8080
Mailing address
19888 40TH AVE W UNIT B216, LYNNWOOD, WA 98036-8073
(619) 730-9964

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
WA
106S00000X
Behavior Technician
Primary
61463343
WA
106S00000X
Behavior Technician
RBT-20-135239
CA

Other

Enumeration date
04/16/2019
Last updated
05/26/2026
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