Krysta Schaefer, BCBA, MS, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BCBA-1-18-32469 Issued in AZ

Practice address

115 Technology Dr Unit B106
Trumbull, CT 06611-6339

Phone

(203) 247-5023

NPI assigned

Dec 22, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1513900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1164938403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12541 W STATE CT",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853071940",
            "telephone_number": "203-247-5023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 TECHNOLOGY DR UNIT B106",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066116339",
            "telephone_number": "203-247-5023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21505 N 78th Ave Ste 125",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "85382",
            "country_code": "US",
            "telephone_number": "623-207-8108",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21505 N 78th Ave Ste 125",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "85382",
            "country_code": "US",
            "telephone_number": "623-207-8108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHAEFER",
        "first_name": "KRYSTA",
        "credential": "BCBA, MS, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-22",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "AZ",
            "license": "RBT-17-41612",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AZ",
            "license": "BCBA-1-18-32469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley C Santana, LCSW
• Saranan Inc
• Tara Elizabeth Sawhney
• Alejandro Moises Saxton Medina
• Ashlyn M. Schaefer, DPT
• Varda Schary, MSC
• Caryl Schiff-Greatorex, LPC
• Kelly Ann Schrader-Rees, OTR/L
• Erika Schramm
• Jennifer Kathryn Schreck, MD

• Behavior Analyst in Trumbull, CT
• Providers in Trumbull, CT by specialty
• Behavior Analyst in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; 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.