Active NPI
Kristiyana Jessica Owens
- Behavior Technician
- Frederick, MD
National Provider Identifier
1619792520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 4714 Arcadia Dr Ste 100-125
Frederick, MD 21703-7662 - Phone
- (855) 935-3691
- NPI assigned
- Nov 18, 2024
- Last updated
- Jul 9, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | NU | Primary |
Addresses
Primary practice location
4714 Arcadia Dr Ste 100-125
Frederick, MD 21703-7662
Mailing address
4714 Arcadia Dr Ste 100-125
Frederick, MD 21703-7662
Phone (855) 935-3691
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All Star ABA LLC | Behavior Technician | Current | Accepting new patients |
Locations
1517 Reisterstown Rd
Pikesville, MD 21208
Phone (410) 541-1316
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783555200000",
"number": "1619792520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4714 ARCADIA DR STE 100-125",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217037662",
"telephone_number": "855-935-3691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4714 ARCADIA DR STE 100-125",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217037662",
"telephone_number": "855-935-3691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWENS",
"first_name": "KRISTIYANA",
"middle_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-18",
"last_updated": "2026-07-09",
"certification_date": "2026-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.