Kristan Kevin San Juan, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

LBA002064 Issued in GA

Practice address

200 Technology CT SE Ste E
Smyrna, GA 30082-5203

Phone

(770) 277-6293

Fax

(770) 288-0446

NPI assigned

Jan 18, 2019

Last updated

Mar 10, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kristan Kevin San Juan Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Actions Speak LLC

  • Behavior Analyst
  • Smyrna, GA
  • NPI 1013801521
  NPD (past) Authorized official

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

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1649744038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 TECHNOLOGY CT SE STE E",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300825203",
            "telephone_number": "770-277-6293",
            "fax_number": "770-288-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 TECHNOLOGY CT SE STE E",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300825203",
            "telephone_number": "770-277-6293",
            "fax_number": "770-288-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAN JUAN",
        "first_name": "KRISTAN KEVIN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-18",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "LBA002064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTAN KEVIN",
            "last_name": "SAN JUAN",
            "credential": "BCBA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Saint Joseph's Mercy Care Services, Inc. (Saint Joseph's Mercy Care 7 Bridges to Recovery)
• Rica Saintfort
• Alicia Salamani, MD
• Krima Salvi
• Felicia Anastasia Sample
• Suwanne Taquise Sancko, LPC
• Deepak Satam, O.T.
• Sava Podiatry and Wellness Centers LLC
• SBMD, PC
• Ashley Corey Schau, DO

• Behavior Analyst in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.

Verify at the official NPI Registry.