Active NPI
Kristin Nicole Griffis, MA, BCBA, LBA
- Behavior Analyst
- Nicholasville, KY
National Provider Identifier
1619538675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 288239
- Practice address
- 799 E Brannon Rd
Nicholasville, KY 40356-6038 - Phone
- (606) 280-5187
- Fax
- (859) 224-4675
- NPI assigned
- Jun 21, 2019
- 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 Technician | 106S00000X | RBT-19-88542 | ||
| Behavior Analyst | 103K00000X | 288239 | KY | Primary |
Addresses
Primary practice location
799 E Brannon Rd
Nicholasville, KY 40356-6038
Mailing address
109 Wind Haven Dr
Nicholasville, KY 40356-8010
Other practice location 1
1013 Center Dr
Richmond, KY 40475-3841
Phone (859) 224-2273
Other practice location 2
3499 Blazer Pkwy Ste 170
Lexington, KY 40509-2823
Phone (859) 224-2273
Other practice location 3
117 E Jefferson St
Georgetown, KY 40324-1764
Phone (859) 224-2273
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RBT-19-88542 | Other | RBT CERTIFICATE | |
| 1-23-68212 | Other | KY | BACB |
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 288239 | KY | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Story Therapies, LLC | Behavior Analyst | Current | Accepting new patients |
| Marshall Pediatric Therapy, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Behavior Analyst
- Nicholasville, KY
- NPI 1770428575
-
- Pediatric Occupational Therapist
- Nicholasville, KY
- NPI 1104198472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696377600000",
"number": "1619538675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 WIND HAVEN DR",
"city": "NICHOLASVILLE",
"state": "KY",
"postal_code": "403568010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "799 E BRANNON RD",
"city": "NICHOLASVILLE",
"state": "KY",
"postal_code": "403566038",
"telephone_number": "606-280-5187",
"fax_number": "859-224-4675"
}
],
"practiceLocations": [
{
"address_1": "1013 Center Dr",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "KY",
"postal_code": "404753841",
"country_code": "US",
"telephone_number": "859-224-2273",
"fax_number": "859-224-4675",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3499 Blazer Pkwy Ste 170",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405092823",
"country_code": "US",
"telephone_number": "859-224-2273",
"fax_number": "859-224-4675",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "117 E Jefferson St",
"address_purpose": "LOCATION",
"city": "Georgetown",
"state": "KY",
"postal_code": "403241764",
"country_code": "US",
"telephone_number": "859-224-2273",
"fax_number": "859-224-4675",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRIFFIS",
"first_name": "KRISTIN",
"middle_name": "NICOLE",
"credential": "MA, BCBA, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-21",
"last_updated": "2023-10-04",
"certification_date": "2023-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": "RBT-19-88542",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "KY",
"license": "288239",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RBT CERTIFICATE",
"identifier": "RBT-19-88542",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BACB",
"identifier": "1-23-68212",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nicholasville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.