Individual
GWITAEK PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
420 COPPERFIELD BLVD NE, CONCORD, NC 28025-2404
(704) 706-2200
Mailing address
PO BOX 749, BELMONT, NC 28012-0749
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NC
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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