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

Marissa Clark

Individual provider Behavior Technician · NPI 1043191877

Marissa Clark is a Behavior Technician in Mankato, Minnesota. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1701 Adams St
Mankato, MN 56001-4895
Phone: (507) 682-7100
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 number1043191877
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 9, 2025
Last updated in NPPESSeptember 9, 2025
Certification dateSeptember 9, 2025
Mailing address149 James Ave Unit A, Mankato, MN 56001-3925

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