Active NPI
Kristyn Hardin, MS, BCBA, LBA
- Behavior Analyst
- Franklinville, NC
National Provider Identifier
1609267798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1009
- Practice address
- 3958 Hardin Ellison Rd
Franklinville, NC 27248 - Phone
- (336) 953-3812
- NPI assigned
- Feb 10, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-18-29881 | NC | |
| Behavior Analyst | 103K00000X | 1009 | NC | Primary |
Addresses
Primary practice location
3958 Hardin Ellison Rd
Franklinville, NC 27248
Mailing address
3958 Hardin Ellison Rd
Franklinville, NC 27248-8112
Phone (336) 953-3812
Other practice location 1
500 Fairway Dr
Deerfield Beach, FL 33441-1814
Phone (888) 880-9270
Other practice location 2
1701 Center St
Apex, NC 27502-7026
Phone (984) 246-9080
Other practice location 3
19109 W Catawba Ave
Cornelius, NC 28031-5611
Phone (857) 285-4520
Other names 1
- Kristyn Hardin
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complete Rehabilitation and Sports Physical Therapy, PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Ronkonkoma, NY
- NPI 1811097306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729209600000",
"number": "1609267798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3958 HARDIN ELLISON RD",
"city": "FRANKLINVILLE",
"state": "NC",
"postal_code": "272488112",
"telephone_number": "336-953-3812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3958 HARDIN ELLISON RD",
"city": "FRANKLINVILLE",
"state": "NC",
"postal_code": "27248",
"telephone_number": "336-953-3812"
}
],
"practiceLocations": [
{
"address_1": "500 Fairway Dr",
"address_purpose": "LOCATION",
"city": "Deerfield Beach",
"state": "FL",
"postal_code": "334411814",
"country_code": "US",
"telephone_number": "888-880-9270",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1701 Center St",
"address_purpose": "LOCATION",
"city": "Apex",
"state": "NC",
"postal_code": "275027026",
"country_code": "US",
"telephone_number": "984-246-9080",
"fax_number": "984-464-2242",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "19109 W Catawba Ave",
"address_purpose": "LOCATION",
"city": "Cornelius",
"state": "NC",
"postal_code": "280315611",
"country_code": "US",
"telephone_number": "857-285-4520",
"fax_number": "646-859-4440",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARDIN",
"first_name": "KRISTYN",
"credential": "MS, BCBA, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-10",
"last_updated": "2024-10-18",
"certification_date": "2024-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NC",
"license": "1-18-29881",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NC",
"license": "1009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTYN",
"last_name": "HARDIN",
"credential": "BCBA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Franklinville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.