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

Kylie Clark

Individual provider Behavior Technician · NPI 1073267506

Kylie Clark is a Behavior Technician in Lake Oswego, Oregon. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

412 Jefferson Pkwy Ste 202
Lake Oswego, OR 97035-1252
Phone: (888) 428-3223
Fax: (323) 866-1881
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 number1073267506
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 3, 2022
Last updated in NPPESFebruary 3, 2022
Certification dateFebruary 3, 2022
Mailing address4221 Wilshire Blvd Ste 300a, Los Angeles, CA 90010-3537

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