Kristen Galbraith

Individual provider Active NPI Behavior Technician · Gastonia, NC

NPI 1205400488 · NPPES record last updated May 13, 2021

Key facts

NPI
1205400488
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
916 Cox Rd Ste 201
Gastonia, NC 28054-3496
Phone
(704) 780-4271
Fax
(888) 261-6694
NPI assigned
May 13, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X NC Yes

Addresses

Primary practice location

916 Cox Rd Ste 201
Gastonia, NC 28054-3496

Mailing address

4228 River Otter Rd
Clover, SC 29710-6569
Phone (860) 466-0449

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 13, 2021.

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1205400488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4228 RIVER OTTER RD",
            "city": "CLOVER",
            "state": "SC",
            "postal_code": "297106569",
            "telephone_number": "860-466-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 COX RD STE 201",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280543496",
            "telephone_number": "704-780-4271",
            "fax_number": "888-261-6694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALBRAITH",
        "first_name": "KRISTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-13",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

All providers in Gastonia, NC · Behavior Technician in North Carolina

Sources for this page

Verify at the official NPI Registry.