IndividualActive
Carly Kirk
NPI 1558057745 · Behavior Technician · Elk River, MN
Provider details
- NPI number
- 1558057745
- 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
19437 Evans St Nw
Elk River, MN 55330-1074
Phone: (763) 515-3532
Fax: (763) 515-6282
Approximate (ZIP-level) locationGet directions
Mailing address
19437 Evans St Nw
Elk River, MN 55330-1074
Registry dates
- Enumerated
- 2023-04-12
- Last updated
- 2023-04-12
- Certified
- 2023-04-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.