Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073087938 Individual Practitioner Male Practitioner

John Park

Behavior Analyst • San Diego, CA

Professional Overview & Biography Verified Profile Summary

John Park is a registered healthcare professional specializing in Behavior Analyst in San Diego, CA. Practice services are available at 3685 KEARNY VILLA RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3685 Kearny Villa Rd

San Diego, CA 921231950

Telephone 8585059083

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in San Diego, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.8 Yrs
Regional Practice Density
1161 Specialists

Practicing in San Diego, CA (20508 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-04-28
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License CA 1-23-63823

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Evelyn Lopez

Behavior Technician

NPI 1003590563
Angela Bueno

Behavior Analyst

NPI 1013506492
Larisa Shevchuk

Behavior Technician

NPI 1013694009
Lilliana Hsu , MS

Speech-Language Pathologist

NPI 1013883362

Master of Science

Hannah Page

Speech-Language Pathologist

NPI 1023561594
Wesley Bowen

Behavior Technician

NPI 1023601424

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Practice Location April 28, 2025

Registered at 3685 KEARNY VILLA RD, SAN DIEGO, CA 921231950 (Tel: 8585059083)

📍
Updated Business Mailing Address April 28, 2025

Registered at 3685 KEARNY VILLA RD, SAN DIEGO, CA 921231950

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 04, 2024

Behavior Analyst (License #1-23-63823 in CA)

📍
Updated Practice Location September 08, 2023

Registered at 3665 KEARNY VILLA RD, SAN DIEGO, CA 921231953 (Tel: 8585059083)

📍
Updated Business Mailing Address September 08, 2023

Registered at 3665 KEARNY VILLA RD, SAN DIEGO, CA 921231953

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2023

Behavior Analyst

📍
Updated Practice Location February 08, 2021

Registered at 9620 CHESAPEAKE DR STE 105, SAN DIEGO, CA 921231324 (Tel: 8585059083)

📍
Updated Business Mailing Address February 08, 2021

Registered at 9620 CHESAPEAKE DR STE 105, SAN DIEGO, CA 921231324

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 08, 2021

Assistant Behavior Analyst

NPI Profile Active January 14, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location January 14, 2019

Registered at 2525 CAMINO DEL RIO S STE 335, SAN DIEGO, CA 921083743 (Tel: 8772646747)

📍
Updated Business Mailing Address January 14, 2019

Registered at 1663 MISSION ST STE 400, SAN FRANCISCO, CA 941032485

👤
Provider Name / Credentials Updated January 14, 2019

Recorded as JOHN PARK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 14, 2019

Technician, Other

🟢
Initial NPI Registration & Enumeration January 14, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073087938
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 14, 2019
Last Update: April 28, 2025
Sole Proprietor: No

Mailing Address

3685 Kearny Villa Rd

San Diego, CA 921231950

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.