Krystal Marie Haubenchild, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-18-30559 Issued in CA

Practice address

1235 Mission Dr
Lemoore, CA 93245-4726

Phone

(559) 381-6574

NPI assigned

Nov 11, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• New Beginnings Behavioral Health, LLC

  dba New Beginnings Behavioral Health

  • Community/Behavioral Health Agency
  • Lemoore, CA
  • NPI 1255021887
  NPD Authorized official
• Tulare County Office of Education

  • Community/Behavioral Health Agency
  • Visalia, CA
  • NPI 1710207162
  NPD (past)

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

{
    "created_epoch": "1447200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1306219498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 MISSION DR",
            "city": "LEMOORE",
            "state": "CA",
            "postal_code": "932454726",
            "telephone_number": "559-381-6574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 MISSION DR",
            "city": "LEMOORE",
            "state": "CA",
            "postal_code": "932454726",
            "telephone_number": "559-381-6574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUBENCHILD",
        "first_name": "KRYSTAL",
        "middle_name": "MARIE",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-11",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "0-15-6549",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-18-30559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
            "identifier": "0-15-6549",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dusty Shane Hammond
• Matthew Garrett Hanley, M.D.
• Marland Abe Hansen, MD
• Irene Hanson
• Hayley Danielle Hatherly, DO
• Heather Hauck, MD
• Health Valley Medical Group Inc
• Alexus Hemingway
• Jessica Hernandez
• Alex C Herrera, PAC

• Behavior Analyst in Lemoore, CA
• Providers in Lemoore, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.