Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KOHLEE CLARK
Active Sole ProprietorKOHLEE CLARK is a Behavior Technician healthcare provider located in REXBURG, Idaho. NPI 1861108177 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · REXBURG, ID
Registration Details
- NPI Number
- 1861108177
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 30, 2023 (3.5373188828221 yrs)
- Last Updated
- Jan 30, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
859 S HWY 191SUITE 202REXBURG, ID, 83440Browse ID providers · Browse ZIP 83440
- Phone
- 3072575487
- Primary Specialty
-
Behavior Technician
106S00000X
Other Behavior Technician Providers in REXBURG, ID
| Name | Credential | NPI |
|---|---|---|
| MARISELA BUTLER | BI | 1720628712 |
| CAMERON MOORE | — | 1134744790 |
| ELIZABETH WARD | — | 1003422122 |
| GENEVIEVE MARIE WILKERSON HANSEN | — | 1154922045 |
| JOSHUA D JENSEN | IS | 1376206698 |
| KAYLA EMILY SMITH | NONE | 1801555404 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.