Katelyn Clark

Behavior Technician · East Moline, IL

Individual Active NPI

NPI number 1245128867

Practice location

1045 12TH Ave
East Moline, IL 61244-1474
Phone
(563) 526-0533

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NPI record

NPI
1245128867
Entity type
Individual (Type 1)
Enumeration date
June 24, 2025
Last updated
June 24, 2025
Certified
June 24, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

Mailing address

215 Red Coach Dr
Mishawaka, IN 46545-8307

About Katelyn Clark

Katelyn Clark is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 1045 12TH Ave, East Moline, IL 61244-1474. The NPI number 1245128867 was assigned on June 24, 2025 and the record was last updated on June 24, 2025.

Frequently asked questions

What is the NPI number of Katelyn Clark?

The NPI number is 1245128867.

What is the phone number of Katelyn Clark?

The phone number listed for the practice location is (563) 526-0533.

Where is Katelyn Clark located?

1045 12TH Ave, East Moline, IL 61244-1474.

What is the taxonomy code for Katelyn Clark?

The primary taxonomy code is 106S00000X – Behavior Technician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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