Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1659071637 Individual Practitioner Female Practitioner

Su Ji Park

Behavior Analyst • Vienna, VA

Professional Overview & Biography Verified Profile Summary

Su Park is a registered healthcare professional specializing in Behavior Analyst in Vienna, VA. Practice services are available at 8230 LEESBURG PIKE STE 740 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8230 Leesburg Pike Ste 740

Vienna, VA 221822641

Telephone 8775044141
Associated Practice Facility / Clinic
🏢 Mps Healthcare Inc Facility NPI 1689638488

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Vienna, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
36 Specialists

Practicing in Vienna, VA (2797 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: 2023-03-30
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License VA 1-23-64525

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
Ariel Henderson , RBT

Behavior Technician

NPI 1003539453

Registered Behavior Technician

Renee Lopez

Behavior Technician

NPI 1003772013
Dineth Ferdinando

Behavior Technician

NPI 1003785155
Brandi Tippett

Behavior Technician

NPI 1023737335
Margaret Mary Mcgovern

Behavior Technician

NPI 1023900149
Ava Mueller

Behavior Technician

NPI 1023940590

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location March 30, 2023

Registered at 8230 LEESBURG PIKE STE 740, VIENNA, VA 221822641 (Tel: 8775044141)

NPI Profile Active March 07, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location March 07, 2023

Registered at 24602 SILTSTONE SQ, ALDIE, VA 201053001 (Tel: 5406227415)

📍
Updated Business Mailing Address March 07, 2023

Registered at 24602 SILTSTONE SQ, ALDIE, VA 201053001 (Tel: 5406227415)

👤
Provider Name / Credentials Updated March 07, 2023

Recorded as SU PARK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2023

Behavior Analyst (License #1-23-64525 in VA)

🟢
Initial NPI Registration & Enumeration March 07, 2023

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: 1659071637
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 07, 2023
Last Update: March 30, 2023
Sole Proprietor: No

Mailing Address

24602 Siltstone Sq

Aldie, VA 201053001

Phone: 5406227415

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.