What is Shane Park's NPI number?

Shane Park's National Provider Identifier (NPI) is 1265850143, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Shane Park's specialty?

Shane Park is listed in the NPPES registry with a primary specialty of Behavior Analyst (Behavioral Health & Social Service Providers).

Where is Shane Park located?

Shane Park's practice location on file with NPPES is 5500 W Bagley Park Rd, West Jordan, UT 84081-5697.

What is Shane Park's phone number?

The practice phone number listed in the NPPES registry for Shane Park is (702) 917-4192.

Is Shane Park's NPI active?

Yes — Shane Park's NPI (1265850143) is active in the NPPES registry as of the last update on 2014-03-28.

IndividualActive

Shane Park

NPI 1265850143 · Behavior Analyst · West Jordan, UT

Shane Park is a Behavior Analyst provider in West Jordan, UT (NPI 1265850143).

Provider details

NPI number: 1265850143
Entity type: Individual
Primary specialty: Behavior AnalystBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Behavior AnalystPrimary103K00000X
Behavioral Health & Social Service Providers

Profile Score

Established profile(69/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
12 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

5500 W Bagley Park Rd

West Jordan, UT 84081-5697

Phone: (702) 917-4192

Street-level locationGet directions

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Mailing address