Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1265850143 Individual Practitioner Male Practitioner

Shane Byron Park

Behavior Analyst • West Jordan, UT

Professional Overview & Biography Verified Profile Summary

Shane Park is a registered healthcare professional specializing in Behavior Analyst in West Jordan, UT. Practice services are available at 5500 W BAGLEY PARK RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5500 W Bagley Park Rd

West Jordan, UT 840815697

Telephone 7029174192
Associated Practice Facility / Clinic
🏢 Havenwood Ii Facility NPI 1366314429

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in West Jordan, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
31 Specialists

Practicing in West Jordan, UT (1046 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

Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

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

13 Associated Practitioners
John Ogden , LCSW

Social Worker - Clinical

NPI 1043625783

Licensed Clinical Social Worker

Amy Whittaker , LCSW

Social Worker - Clinical

NPI 1154712123

Licensed Clinical Social Worker

Darby Golden

Behavior Analyst

NPI 1174949366
Amanda Koci , CMHC

Counselor - Mental Health

NPI 1194326066
David Asay , LCSW

Social Worker - Clinical

NPI 1396129748

Licensed Clinical Social Worker

Shane Brooks , TRS, CTRS

Recreational Therapist Assistant

NPI 1417774001

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 28, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location March 28, 2014

Registered at 5500 W BAGLEY PARK RD, WEST JORDAN, UT 840815697 (Tel: 7029174192)

📍
Updated Business Mailing Address March 28, 2014

Registered at 5500 W BAGLEY PARK RD, WEST JORDAN, UT 840815697 (Tel: 7029174192)

👤
Provider Name / Credentials Updated March 28, 2014

Recorded as SHANE PARK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2014

Behavior Analyst

🟢
Initial NPI Registration & Enumeration March 28, 2014

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: 1265850143
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 28, 2014
Last Update: March 28, 2014
Sole Proprietor: Yes

Mailing Address

5500 W Bagley Park Rd

West Jordan, UT 840815697

Phone: 7029174192

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.