Individual provider Active NPI

Kristen Hubbard, BCBA

  • Behavior Analyst
  • Columbia, SC
National Provider Identifier
1083070338
Registry record updated Apr 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-19-35246 Issued in SC
Practice address
1310 Woodrow St
Columbia, SC 29205-1229
Phone
(803) 466-4089
NPI assigned
Dec 31, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-19-35246 SC Primary

Addresses

Primary practice location

1310 Woodrow St
Columbia, SC 29205-1229

Mailing address

959 E Main St Apt 526
Lexington, SC 29072-4262
Phone (562) 468-8989

Other practice location 1

2580 Lin Do Ct
Sumter, SC 29150-1832
Phone (803) 905-4427

Other practice location 2

460 Pin Oak Dr
Lexington, SC 29073-7916
Phone (803) 714-3446

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

OrganizationSpecialtyStatusNew patients
Meaningful Milestones LLC Behavior Analyst Current 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556323200000",
    "number": "1083070338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "959 E MAIN ST APT 526",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290724262",
            "telephone_number": "562-468-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 WOODROW ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292051229",
            "telephone_number": "803-466-4089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2580 Lin Do Ct",
            "address_purpose": "LOCATION",
            "city": "Sumter",
            "state": "SC",
            "postal_code": "291501832",
            "country_code": "US",
            "telephone_number": "803-905-4427",
            "fax_number": "803-905-4431",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "460 Pin Oak Dr",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "SC",
            "postal_code": "290737916",
            "country_code": "US",
            "telephone_number": "803-714-3446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "KRISTEN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-31",
        "last_updated": "2019-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "SC",
            "license": "1-19-35246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.