NPIMap

Organization Active NPI

Kristin Nicole Harris LLC

  • Behavior Analyst
  • Vero Beach, FL
National Provider Identifier
1083392518
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
KRISTIN NICOLE HARRIS LLC
Doing business as
Magnolia Behavior Solutions
Practice address
1415 5TH PL
Vero Beach, FL 32962-2133
Phone
(301) 758-2817
NPI assigned
Jul 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Authorized official

Name
Mrs. Kristin Nicole Harris, BCBANPI 1043686199
Title
Behavior Analyst Founder
Phone
(301) 758-2817

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

1415 5TH PL
Vero Beach, FL 32962-2133

Mailing address

1415 5TH PL
Vero Beach, FL 32962-2133
Phone (301) 758-2817

Other names 1

  • Magnolia Behavior Solutions Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1688515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688515200000",
    "number": "1083392518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 5TH PL",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329622133",
            "telephone_number": "301-758-2817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 5TH PL",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329622133",
            "telephone_number": "301-758-2817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTIN NICOLE HARRIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-05",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "BEHAVIOR ANALYST FOUNDER",
        "authorized_official_telephone_number": "301-758-2817",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia Behavior Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; 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.