KYRA ANNE WIDEMAN
NPI 1750931374
Behavior Analyst in San Antonio, TX

Q: What is Kyra Wideman's NPI number?

The NPI number for Kyra Wideman is 1750931374. It was assigned to this individual provider in the NPPES registry on September 16, 2019. The provider is also known as Kyra Clark.

Q: What is Kyra Wideman's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Q: When was this NPI record last updated?

The NPPES record for Kyra Wideman was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.

Active since September 16, 2019

20702 STONE OAK PKWY, SAN ANTONIO, TX 78258(512) 254-0016 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2026, Jun 9, 2021, Sep 16, 2019 (3 updates tracked since 2019).

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About Kyra Anne Wideman NPPES

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

KYRA ANNE WIDEMAN (NPI 1750931374) is an individual behavior analyst provider in San Antonio, Texas, licensed in Texas (4176) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1750931374

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameKYRA ANNE WIDEMAN

Location Address20702 STONE OAK PKWYSan Antonio, TX 78258-7478

Mailing Address20702 Stone Oak PkwySan Antonio, TX 78258-7478 · (706) 536-9866

Phone(512) 254-0016

Sole ProprietorYes

Enumeration DateSeptember 16, 2019

Last NPPES UpdateMarch 17, 20263 updates tracked since enumeration

NPPES CertifiedMarch 17, 2026

✔ NPI 1750931374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in TX · 4176

Definition

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

20702 STONE OAK PKWY, San Antonio, TX 78258

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Other Names 1

Other Name (5)Kyra Clark

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company.Insurance ›

Other Providers at the Same Location NPPES 6

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

GRACE PALMER BCBA, LBA

Behavior Analyst