Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KIMBERLY DIANE PAVLISICH
NPI 1164004867
Behavior Technician in Mankato, MN

Active since April 22, 2021
220 E MAIN ST., MANKATO, MN 56001(952) 401-9359 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 23, 2026, Apr 22, 2022, Apr 22, 2021 (3 updates tracked since 2021).

About Kimberly Diane Pavlisich NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY DIANE PAVLISICH (NPI 1164004867) is an individual behavior technician in Mankato, Minnesota and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1164004867
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameKIMBERLY DIANE PAVLISICH
Location Address220 E MAIN ST.Mankato, MN 56001
Mailing Address117 Pfau StMankato, MN 56001-5245 · (507) 226-7970
Sole ProprietorNo
Enumeration DateApril 22, 2021
Last NPPES UpdateJuly 23, 20263 updates tracked since enumeration
NPPES CertifiedJuly 23, 2026
NPI 1164004867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition
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 may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
Also ListedTechnician, OtherTaxonomy 247200000X
220 E MAIN ST., Mankato, MN 56001

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
220 E MAIN ST.
MANKATO, MN 56001
Behavior Technician
220 E MAIN ST.
MANKATO, MN 56001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Pavlisich's NPI number?

The NPI number for Kimberly Pavlisich is 1164004867. It was assigned to this individual provider in the NPPES registry on April 22, 2021.

Where is Kimberly Pavlisich located?

Kimberly Pavlisich practices at 220 E Main St., Mankato, MN 56001. The listed phone number is (952) 401-9359.

What is Kimberly Pavlisich's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Kimberly Pavlisich was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.