IndividualActive
Kohlee Clark
NPI 1861108177 · Behavior Technician · Rexburg, ID
Kohlee Clark is a Behavior Technician provider in Rexburg, ID (NPI 1861108177).
Provider details
- NPI number
- 1861108177
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
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
859 S Hwy 191
Suite 202
Rexburg, ID 83440
Phone: (307) 257-5487
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 20310
Cheyenne, WY 82003-7007
Registry dates
- Enumerated
- 2023-01-30
- Last updated
- 2023-01-30
- Certified
- 2023-01-23
Frequently asked questions
- What is Kohlee Clark's NPI number?
- Kohlee Clark's National Provider Identifier (NPI) is 1861108177, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kohlee Clark's specialty?
- Kohlee Clark is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Kohlee Clark located?
- Kohlee Clark's practice location on file with NPPES is 859 S Hwy 191, Rexburg, ID 83440.
- What is Kohlee Clark's phone number?
- The practice phone number listed in the NPPES registry for Kohlee Clark is (307) 257-5487.
- Is Kohlee Clark's NPI active?
- Yes — Kohlee Clark's NPI (1861108177) is active in the NPPES registry as of the last update on 2023-01-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.