IndividualActive
Amy Clark
NPI 1356116248 · Behavior Technician · Virginia, MN
Provider details
- NPI number
- 1356116248
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
910 8th St S Ste B
Virginia, MN 55792-3236
Phone: (218) 748-8500
Fax: (218) 212-3444
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 236
Cotton, MN 55724-0236
Registry dates
- Enumerated
- 2023-11-20
- Last updated
- 2023-11-20
- Certified
- 2023-11-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.