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

Kimberly Diane Pavlisich

Individual provider Behavior Technician · NPI 1164004867

Kimberly Diane Pavlisich is a Behavior Technician in Mankato, Minnesota. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2

Practice location Address checks out

220 E Main St
Mankato, MN 56001
Phone: (952) 401-9359
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X
Other Technician Taxonomy 247200000X

Record details

NPI number1164004867
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 22, 2021
Last updated in NPPESJuly 23, 2026
Certification dateJuly 23, 2026

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