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

Misty Lee Clark

Individual provider Behavior Technician · NPI 1104745223

Misty Lee Clark is a Behavior Technician in Coon Rapids, Minnesota. Licensed in Minnesota. Registered with an NPI since 2026.

Licensed in
MN
In the registry since
2026

Practice location Address checks out

9120 Springbrook Dr NW
Coon Rapids, MN 55433-5845
Phone: (763) 231-2590
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (MN)

Record details

NPI number1104745223
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 13, 2026
Last updated in NPPESJuly 13, 2026
Certification dateJuly 13, 2026
Mailing address9120 Springbrook Dr Nw, Coon Rapids, MN 55433-5845

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