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Kimberly Diane Pavlisich

Behavior Technician β€’ Mankato, MN

Active NPI 1164004867 Individual Practitioner Female Practitioner
Practice location in NPPES

220 E Main St.
Mankato, MN 56001

Call 9524019359 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

220 E Main St.

Mankato, MN 56001

Telephone 9524019359
Organization at the Same NPPES Address or Phone
Holland Therapies, Llc Facility NPI 1265892137

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Mankato and Minnesota

322 active clinicians are listed under Behavior Technician with a practice address in Mankato, MN (16,124 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Mankato

0% of these 322 clinicians have the CMS telehealth indicator.

0% of these 322 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-23
Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Technician, Other

NUCC Taxonomy Code: 247200000X

A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location July 23, 2026

Registered at 220 E MAIN ST., MANKATO, MN 56001 (Tel: 9524019359)

πŸ‘€
Provider Name / Credentials Updated July 23, 2026

Recorded as KIMBERLY PAVLISICH

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 22, 2022

Behavior Technician

βœ…
NPI Profile Active April 22, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 22, 2021

Registered at 1720 BASSETT DR, MANKATO, MN 560016569 (Tel: 5075650150)

πŸ“
Business Mailing Address (Initial Record) April 22, 2021

Registered at 117 PFAU ST, MANKATO, MN 560015245 (Tel: 5072267970)

πŸ‘€
Provider Name / Credentials (Initial Record) April 22, 2021

Recorded as KIMBERLY ROYER

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 22, 2021

Technician, Other

🟒
Initial NPI Registration & Enumeration April 22, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1164004867
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 22, 2021
Last Update: July 23, 2026
Sole Proprietor: No

Mailing Address

117 Pfau St

Mankato, MN 560015245

Phone: 5072267970

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.