Individual provider · Type 1 NPI

Kyndra Jade Clark

Behavior Technician · Red Wing, MN

NPI number 1174476030 Active

Practice location

1995 Old West Main
Red Wing, MN 55066

Call (952) 767-4200 Map

Fax (952) 767-4211

Mailing address

5868 Baker Rd
Minnetonka, MN 55345

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XNone listed

Behavior Technician: The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That…

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About NPI 1174476030

Kyndra Jade Clark's National Provider Identifier is 1174476030, issued on Feb 19, 2026. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Red Wing, MN. The record was last updated on Feb 19, 2026.