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Kathryn Roark

Behavior Technician in Stockton, CA. Individual provider (NPI-1).

NPI number1184570822
StatusActive
Last updated in NPPESMar 5, 2026

Details

NPI
1184570822
Entity type
Individual (NPI-1)
Name
Kathryn Roark
Sex
Female
Sole proprietor
No
Enumeration date
Mar 5, 2026
Certification date
Mar 5, 2026
Last updated
Mar 5, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

81 W March Ln
Stockton, CA 95207-5723

Phone 209-646-5333

Mailing address

81 W March Ln
Stockton, CA 95207-5723

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