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
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(52/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
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
Frequently asked questions
- What is Andrea Clark's NPI number?
- Andrea Clark's National Provider Identifier (NPI) is 1164111043, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Andrea Clark's specialty?
- Andrea Clark is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Andrea Clark located?
- Andrea Clark's practice location on file with NPPES is 2483 15th St Nw Ste a, New Brighton, MN 55112-5604.
- What is Andrea Clark's phone number?
- The practice phone number listed in the NPPES registry for Andrea Clark is (918) 639-9067.
- Is Andrea Clark's NPI active?
- Yes — Andrea Clark's NPI (1164111043) is active in the NPPES registry as of the last update on 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.