MEDICARE: I ON ACADEMY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1619820529
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	I ON ACADEMY LLC

Provider Business Mailing Address
First Line	:	13681 STANMERE DR
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75035-8421
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1220 W TRINITY MILLS RD STE 264
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75006-1476
Country	:	US
Telephone Number	:	785-218-1664
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	HYE RAN PARK
Credential	:	BCBA
Telephone Number	:	785-218-1664

Provider Enumeration Date	:	02/19/2026
Last Update Date	:	02/19/2026

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Directions to “I ON ACADEMY LLC ” Practice Location

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