Park, Andy

Park, Andy is an sole proprietor health care provider with primary practice located at 13847 E 14Th St Ste 217 , San Leandro CA 94578-2626. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is his primary health care specialty. Park, Andy can be contacted via phone (888) 805-0759.

Contact Information

Primary practice address
13847 E 14Th St Ste 217 San Leandro CA 94578-2626
Phone: (888) 805-0759
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-21-56691 California

Profile Details

NPI number 1558868588
LBN Legal business name Park, Andy
Credentials BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 6th, 2018
Last updated Dec 21st, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers