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

Matthew Jacob Stark

Individual provider Behavior Technician · NPI 1831896539

Matthew Jacob Stark is a Behavior Technician in White Bear Lake, Minnesota. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1011 Meadowlands Dr Ste 1
White Bear Lake, MN 55127-2340
Phone: (612) 445-0300
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 number1831896539
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 13, 2023
Last updated in NPPESFebruary 13, 2023
Certification dateFebruary 13, 2023
Mailing address1011 Meadowlands Dr Ste 1, White Bear Lake, MN 55127-2340

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