Kristopher Butler

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-24-387868

Practice address

4629 Church St
Milton, FL 32583-4107

Phone

(850) 503-6636

Fax

(850) 626-6132

NPI assigned

Oct 24, 2024

Last updated

Jan 20, 2025By the provider in NPPES

Sex

Male

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lifelong Behavioral Services, LLC

  • Behavior Analyst
  • Milton, FL
  • NPI 1538679832
  NPD
• Proud Moments ABA of Florida PLLC

  dba Proud Moments ABA

  • Behavior Analyst
  • New York, NY
  • NPI 1962156083
  NPD (past)

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

{
    "created_epoch": "1729728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1194546895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4629 CHURCH ST",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325834107",
            "telephone_number": "850-503-6636",
            "fax_number": "850-626-6132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4629 CHURCH ST",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325834107",
            "telephone_number": "850-503-6636",
            "fax_number": "850-626-6132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "KRISTOPHER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-24",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "RBT-24-387868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Patricia Buono, APRN, FNP-BC
• Tara Danielle Burgett
• Karen Burkett
• Michael D Busby, PA-C
• Shaina Leigh Busby, RBT
• Madison A Butler
• Carl Edwin Byrd, MA
• Flora Lorna Cabreros, M.D.
• Austin Michael Campbell
• Brittany Campbell

• Behavior Technician in Milton, FL
• Providers in Milton, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.