Individual provider Active NPI

Kristen Nicole Kobylarz, BCABA

  • Assistant Behavior Analyst
  • Ridgeland, SC
National Provider Identifier
1659080406
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
0-26-17250 Issued in SC
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

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew patients
Mission Autism Clinics LLC Behavior Analyst CurrentSince Nov 27, 2022 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.

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.

Verify at the official NPI Registry.