Individual provider Active NPI

Kristyn Hardin, MS, BCBA, LBA

  • Behavior Analyst
  • Franklinville, NC
National Provider Identifier
1609267798
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1009 Issued in NC
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

Updated by the provider on Oct 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.