What is Kendra Stark's NPI number?

Kendra Stark's National Provider Identifier (NPI) is 1639040512, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kendra Stark's specialty?

Kendra Stark is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).

Where is Kendra Stark located?

Kendra Stark's practice location on file with NPPES is 314 10th Ave S Ste 100, Waite Park, MN 56387-1968.

What is Kendra Stark's phone number?

The practice phone number listed in the NPPES registry for Kendra Stark is (612) 767-7222.

Is Kendra Stark's NPI active?

Yes — Kendra Stark's NPI (1639040512) is active in the NPPES registry as of the last update on 2025-09-15.

IndividualActive

Kendra Stark

NPI 1639040512 · Behavior Technician · Waite Park, MN

Kendra Stark is a Behavior Technician provider in Waite Park, MN (NPI 1639040512).

Provider details

NPI number: 1639040512
Entity type: Individual
Primary specialty: Behavior TechnicianBehavioral Health & Social Service Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Behavior TechnicianPrimary106S00000X
Behavioral Health & Social Service Providers

Profile Score

Basic profile(47/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in 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

314 10th Ave S Ste 100

Waite Park, MN 56387-1968

Phone: (612) 767-7222

Street-level locationGet directions

More MN providers

Mailing address