IndividualActive
Andrea Clark
NPI 1164111043 · Behavior Technician · New Brighton, MN
Andrea Clark is a Behavior Technician provider in New Brighton, MN (NPI 1164111043).
Provider details
- NPI number
- 1164111043
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Practice location
2483 15th St Nw Ste a
New Brighton, MN 55112-5604
Phone: (918) 639-9067
Street-level locationGet directions
Mailing address
713 Carpenter Rd
Nocona, TX 76255-6820
Registry dates
- Enumerated
- 2023-05-05
- Last updated
- 2023-05-05
- Certified
- 2023-05-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.