SearchNorth Carolina103K00000X

Ellen Park, BCBA, LBA

NPI 1316533029 · on the registry since 2020

Practice

Address
4235 S Stream Blvd Ste 300
Charlotte, NC 28217
Phone
(980) 785-1113
Clinicians at this address
4

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-12-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina