Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ann Stark

Individual provider Behavior Technician · NPI 1407613193

Ann Stark is a Behavior Technician in Eagan, Minnesota. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

4635 Nicols Rd # 104
Eagan, MN 55122-3337
Phone: (612) 289-6480
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1407613193
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 29, 2024
Last updated in NPPESFebruary 29, 2024
Certification dateFebruary 29, 2024
Mailing address4635 Nicols Rd # 104, Eagan, MN 55122-3337

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