Active NPI
Kristen Nicole Kobylarz, BCABA
- Assistant Behavior Analyst
- Ridgeland, SC
National Provider Identifier
1659080406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- License
- 0-26-17250
- Practice address
- 3319 Argent Blvd Ste 104
Ridgeland, SC 29936-3268 - Phone
- (978) 224-8753
- NPI assigned
- Nov 21, 2022
- 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 | |||
| Assistant Behavior Analyst | 106E00000X | 0-26-17250 | SC | Primary |
Addresses
Primary practice location
3319 Argent Blvd Ste 104
Ridgeland, SC 29936-3268
Mailing address
3319 Argent Blvd Ste 104
Ridgeland, SC 29936-3268
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 |
|---|---|---|---|
| Mission Autism Clinics LLC | Behavior Analyst | Current | Accepting new patients |
Locations
5310 Spectrum Dr
Frederick, MD 21703
Phone (301) 264-5906
9 Banks Ave
McAdoo, PA 18237
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.
-
- Behavior Analyst
- Frederick, MD
- NPI 1124787866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1659080406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3319 ARGENT BLVD STE 104",
"city": "RIDGELAND",
"state": "SC",
"postal_code": "299363268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3319 ARGENT BLVD STE 104",
"city": "RIDGELAND",
"state": "SC",
"postal_code": "299363268",
"telephone_number": "978-224-8753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOBYLARZ",
"first_name": "KRISTEN",
"middle_name": "NICOLE",
"credential": "BCABA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-21",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "SC",
"license": "0-26-17250",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridgeland, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.