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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- G. Abrams & R. Cohen IV PC
- Amanda Gaddis
- Cynthia A Gaff
- Lindsey Nicole Gagner
- Nitu Gajurel
- Ayla Marie Gallagher
- Madison Nicole Gallo
- Samantha Anne Gambal
- Gary Glenn Gammon
- Meera Gangam
All providers in Gastonia, NC · Behavior Technician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.