Individual provider Active NPI

Crystal Lynn Gwinn, BCBA

  • Behavior Analyst
  • Wesley Chapel, FL
National Provider Identifier
1194462887
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-25-84930 Issued in FL
Practice address
5814 Old Pasco Rd
Wesley Chapel, FL 33544-4011
Phone
(908) 938-1577
NPI assigned
May 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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 1-25-84930 FL Primary

Addresses

Primary practice location

5814 Old Pasco Rd
Wesley Chapel, FL 33544-4011

Mailing address

401 Tuscan LN
Oldsmar, FL 34677-0137
Phone (727) 267-3291

Other practice location 1

6951 Pistol Range Rd
Tampa, FL 33635-9601
Phone (813) 696-0700

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

NPI Registry JSON

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

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1194462887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 TUSCAN LN",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346770137",
            "telephone_number": "727-267-3291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5814 OLD PASCO RD",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335444011",
            "telephone_number": "908-938-1577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6951 Pistol Range Rd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336359601",
            "country_code": "US",
            "telephone_number": "813-696-0700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GWINN",
        "first_name": "CRYSTAL",
        "middle_name": "LYNN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-16",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-25-84930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; 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.