Active NPI
Kristal Renee Bates, BCBA & BCABA
- Behavior Analyst
- Flower Mound, TX
National Provider Identifier
1053667352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-14-15662
- Practice address
- 5870 Long Prairie Rd
Flower Mound, TX 75028-2282 - Phone
- (972) 521-1350
- NPI assigned
- Jul 24, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 01-12-5088 | CA | |
| Behavior Analyst | 103K00000X | 1-14-15662 | CA | Primary |
Addresses
Primary practice location
5870 Long Prairie Rd
Flower Mound, TX 75028-2282
Mailing address
825 Parkside Dr
Argyle, TX 76226-2164
Phone (714) 222-4429
Other practice location 1
11358 Knott St
Garden Grove, CA 92841-1400
Phone (800) 249-1266
Other names 1
- Kristal Renee Baisch
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ABA Enhancement | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Huntington Beach, CA
- NPI 1003448804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721520000000",
"number": "1053667352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 PARKSIDE DR",
"city": "ARGYLE",
"state": "TX",
"postal_code": "762262164",
"telephone_number": "714-222-4429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5870 LONG PRAIRIE RD",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750282282",
"telephone_number": "972-521-1350"
}
],
"practiceLocations": [
{
"address_1": "11358 Knott St",
"address_purpose": "LOCATION",
"city": "Garden Grove",
"state": "CA",
"postal_code": "928411400",
"country_code": "US",
"telephone_number": "800-249-1266",
"fax_number": "800-385-8191",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BATES",
"first_name": "KRISTAL",
"middle_name": "RENEE",
"credential": "BCBA & BCABA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-24",
"last_updated": "2024-07-21",
"certification_date": "2024-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "01-12-5088",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-14-15662",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTAL",
"last_name": "BAISCH",
"middle_name": "RENEE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Flower Mound, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.