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

Kristian Willow Clark

Individual provider Behavior Technician · NPI 1023869955

Kristian Willow Clark is a Behavior Technician in Sanford, North Carolina. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

89 Lakewind Ct
Sanford, NC 27332-0612
Phone: (919) 601-4785
Fax: (910) 356-9466
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1023869955
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 28, 2024
Last updated in NPPESMarch 28, 2024
Certification dateMarch 28, 2024
Mailing address89 Lakewind Ct, Sanford, NC 27332-0612

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