Krystal Karin Edmonds, M.ED., BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

538 Apricot Street
Stafford, VA 22554

Phone

(540) 623-4127

NPI assigned

Mar 20, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

Practice roles

Locations

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.

• Level Up ABA Services

  • Behavior Analyst
  • Fredericksburg, VA
  • NPI 1063224681
  NPD Authorized official
• Stafford Early Autism Services

  • Behavior Analyst
  • Stafford, VA
  • NPI 1790209526
  NPD Authorized official

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

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1194142885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 APRICOT STREET",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "22554",
            "telephone_number": "540-623-4127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538 APRICOT STREET",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "22554",
            "telephone_number": "540-623-4127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7730 Donegan Dr",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201092868",
            "country_code": "US",
            "telephone_number": "571-208-0592",
            "fax_number": "571-379-4331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDMONDS",
        "first_name": "KRYSTAL",
        "middle_name": "KARIN",
        "credential": "M.ED., BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Lee Eakin, BCBA
• Casey Early
• Sarah Latasha Early
• Easier 4Life, LLC
• Gabrielle Echevarria
• Jennifer Edmunds, OTR/L
• Eileen Edwards
• Lonnice Nicole Edwards
• Ashraf Eid, DDS, MS, PHD
• Taylor Ann Ekanger

• Behavior Analyst in Stafford, VA
• Providers in Stafford, VA by specialty
• Behavior Analyst in Virginia

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