KOHLEE CLARK
NPI 1861108177
Behavior Technician in Rexburg, ID

Active since January 30, 2023
859 S HWY 191, SUITE 202, REXBURG, ID 83440(307) 257-5487 Get Directions Write a Review

NPPES record last updated: January 30, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kohlee Clark NPPES

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

KOHLEE CLARK (NPI 1861108177) is an individual behavior technician in Rexburg, Idaho and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1861108177
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameKOHLEE CLARK
Location Address859 S HWY 191, SUITE 202Rexburg, ID 83440
Mailing AddressPo Box 20310, 55984Cheyenne, WY 82003-7007
Sole ProprietorYes
Enumeration DateJanuary 30, 2023
NPPES CertifiedJanuary 23, 2023
NPI 1861108177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
859 S HWY 191, Rexburg, ID 83440

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
859 S HWY 191, SUITE 202
REXBURG, ID 83440
Behavior Technician
859 S HWY 191, #202
REXBURG, ID 83440

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 Kohlee Clark's NPI number?

The NPI number for Kohlee Clark is 1861108177. It was assigned to this individual provider in the NPPES registry on January 30, 2023.

Where is Kohlee Clark located?

Kohlee Clark practices at 859 S Hwy 191 Suite 202, Rexburg, ID 83440. The listed phone number is (307) 257-5487.

What is Kohlee Clark'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 Kohlee Clark was last updated on January 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.