Active NPI
Kristina Medlyn, MA
- Behavior Analyst
- Phoenix, AZ
National Provider Identifier
1013716323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 3201 W Peoria Ave Ste 301
Phoenix, AZ 85029-4608 - Phone
- (602) 926-7200
- NPI assigned
- Mar 10, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | AZ | Primary |
Addresses
Primary practice location
3201 W Peoria Ave Ste 301
Phoenix, AZ 85029-4608
Mailing address
8876 W Morningside Dr
Peoria, AZ 85382-0841
Phone (480) 955-8176
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762128000000",
"number": "1013716323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8876 W MORNINGSIDE DR",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853820841",
"telephone_number": "480-955-8176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 W PEORIA AVE STE 301",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850294608",
"telephone_number": "602-926-7200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDLYN",
"first_name": "KRISTINA",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-10",
"last_updated": "2025-11-03",
"certification_date": "2025-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.