KENDRA STARK

Behavior Technician

Active Individual
NPI: 1639040512

Practice Address

314 10TH AVE S STE 100
Waite Park, MN 56387

Phone: (612) 767-7222

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes -

Frequently Asked Questions

NPI 1639040512 is the National Provider Identifier for KENDRA STARK, a Behavior Technician provider located in Waite Park, MN. This NPI was enumerated on September 15, 2025.
KENDRA STARK practices at 314 10TH AVE S STE 100, Waite Park, MN 56387.

Quick Facts

NPI
1639040512
Type
Individual
Enumerated
Sep 15, 2025
Last Updated
Sep 15, 2025

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