LISA JONES PARK (NPI# 1356763601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356763601 |
| Entity Type | Individual |
| Full Name | LISA JONES PARK |
| Credential | BCBA |
| Practice Address |
1510 Sunflower Dr Missoula MT 59802-3306 |
| Practice Telephone | 4062188809 |
| Mailing Telephone | 4062188809 |
| Enumeration Date | 2014-01-06 |
| Last Update Date | 2020-03-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-11-8586 | MT | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1903 S Russell St, Missoula, MT 598016603 | 4065321615 | 4065321616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245837129 | Lisa Marie Park | Occupational Therapist | 4960 W Argyle St Apt 2, Chicago, IL 60630-4888 | 2020-10-05 |
| 1447866132 | Lisa Yoensil Yoon Park | Nurse Practitioner | 9204 Esperanza, Irvine, CA 92618-1749 | 2020-09-18 |
| 1972130938 | Lisa Kyoun Park | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Port Jefferson, NY 11777-2190 | 2020-03-26 |
| 1225549082 | Lisa S. Park | Nurse Practitioner | 1301 20th St Ste 150, Santa Monica, CA 90404-2050 | 2017-10-19 |
| 1568857142 | Lisa Park | Surgery | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2015-04-01 |
| 1134484785 | Lisa Park | Optometrist | 3333 Buford Dr, Suite 1030, Buford, GA 30519-4913 | 2012-07-10 |
| 1881950533 | Lisa M Park | Nurse Practitioner | 11729 Roe Ave, Leawood, KS 66211-2605 | 2012-04-06 |
| 1699982868 | Lisa L Park | Pediatrics | 4400 University Dr, Student Union Building 1, Room 2300, Fairfax, VA 22030-4422 | 2007-05-17 |
| 1619189115 | Lisa Zito Park | Physical Therapist | 110 Elecia Ln, Foley, AL 36535-8970 | 2007-05-04 |
| 1326269358 | Lisa Lynn Park | Social Worker | 1938 Route 6, Carmel, NY 10512-2311 | 2007-05-01 |
| Street Address |
1510 SUNFLOWER DR |
| City | MISSOULA |
| State | MT |
| Zip Code | 59802-3306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945921 | Montana Endoscopy Center, Pllc | Clinic/Center | 1930 W Broadway, Ste B, Missoula, MT 59802 | 2020-06-08 |
| 1194364091 | Tommie Lynn Perusich | Nurse Practitioner | 1120 Cedar St., Missoula, MT 59802 | 2019-12-26 |
| 1386122752 | The Hope Health Alliance, Inc. | Case Management | 314 White House Ln, Missoula, MT 59802 | 2018-07-30 |
| 1881181444 | Carol Anne Lesser | Massage Therapist | 1918 Birch St, Missoula, MT 59802 | 2018-04-19 |
| 1528587581 | Missoula Aids Fund, Inc. | Clinic/Center | 1500 W. Broadway Suite A, Missoula, MT 59802 | 2017-09-11 |
| 1942740667 | Gabrielle Shulman | Counselor | 415 N Higgins Ave Ste 14, Missoula, MT 59802 | 2017-02-28 |
| 1053798736 | Endurance Physio | Clinic/Center | 214 E. Main St, Missoula, MT 59802 | 2015-05-01 |
| 1720481971 | Anna Golding | Counselor | 1325 Wyoming Street, Missoula, MONTANA 59802 | 2014-10-02 |
| 1003255803 | Jennifer Dawn Danielson | Speech-Language Pathologist | 2408 Duncan Drive, Missoula, MT 59802 | 2013-06-14 |
| 1437595725 | Partnership Health Center Inc | Clinic/Center | 1150 Sherwood St, Missoula, MT 59802 | 2013-05-14 |
| Find all providers in zip 59802 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| 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. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447720875 | Megan Elizabeth Galliford | Behavioral Analyst | 1647 Shindig Dr, Apt 303, Missoula, MT 59808 | 2018-11-28 |
| 1750831533 | Marie Middleton | Behavioral Analyst | 1722 Defoe St, Missoula, MT 59802-1915 | 2016-10-05 |
| 1669857405 | Abigail Dawson | Behavioral Analyst | 616 Stoddard St, Missoula, MT 59802-2504 | 2015-07-22 |
| 1699041202 | Jonathon Eric Hepburn | Behavioral Analyst | 213 W Beckwith St E, Missoula, MT 59801-3924 | 2012-03-28 |
| 1841762572 | Crystal Sherree Juanita Fisher | Behavioral Analyst | 3335 Lt Moss Rd, Missoula, MT 59804-7222 | 2018-12-19 |
| 1225534522 | Tessa Marie Olsen | Behavioral Analyst | 100 Consumer Direct Way, Missoula, MT 59808-5037 | 2018-04-04 |
| 1851763866 | Karlyn Gibbs | Behavioral Analyst | 3335 Lt Moss Rd, Missoula, MT 59804-7222 | 2015-10-29 |
| 1669642393 | Child Development Center | Behavioral Analyst | 3335 Lt Moss Road, Missoula, MT 59804-7209 | 2008-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346847779 | Kimberly Kay Bredberg-beaner | Behavioral Analyst | 2200 Box Elder St Ste 151, Miles City, MT 59301-5930 | 2020-10-08 |
| 1851918296 | Candice Nichole Maurer | Behavioral Analyst | 202 E Lewis St, Livingston, MT 59047-3115 | 2020-07-01 |
| 1316561830 | Community, Counseling & Correctional Services, Inc. | Behavioral Analyst | 471 E Mercury St, Butte, MT 59701-1906 | 2020-06-01 |
| 1023574670 | Lyn Marie Ireland | Behavioral Analyst | 1725 Mt Highway 35, Kalispell, MT 59901-2464 | 2019-02-19 |
| 1326538869 | Paul Duncil Jr. | Behavioral Analyst | 6088 Hazelwood Dr, Billings, MT 59106-9547 | 2018-05-10 |
| 1568960300 | Shelley Renee Burbank | Behavioral Analyst | 4390 Vesta Dr, Helena, MT 59602-6577 | 2018-01-26 |
| 1760905970 | Abigail L Mccromick-hinojosa | Behavioral Analyst | 407 E King Street East, Helena, MT 59635 | 2017-07-19 |
| 1790224988 | Big Sky Behavioral Therapy, Pllc. | Behavioral Analyst | 3170 Two Moons Rd., Big Sky, MT 59716-0771 | 2017-02-21 |
| 1871045591 | Austin Peaslee | Behavioral Analyst | 205 East Park, Anaconda, MT 59711 | 2016-10-28 |
| 1851743041 | Glenda Jo Truesdell | Behavioral Analyst | 3326 Evening Star Dr, Helena, MT 59602-6064 | 2016-07-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.