Active NPI
Kristin Arlene Jenny Kaschub, MS BCBA
- Behavior Analyst
- Newnan, GA
National Provider Identifier
1689066565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-14-17389
- Practice address
- 15 Perry St
Newnan, GA 30263-1918 - Phone
- (847) 754-1718
- NPI assigned
- Mar 2, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Behavior Analyst | 103K00000X | 1-14-17389 | IL | Primary |
| Contractor | 171W00000X | 1-14-17389 | IL |
Addresses
Primary practice location
15 Perry St
Newnan, GA 30263-1918
Mailing address
13652 Derby Line Rd
Genoa, IL 60135-8028
Phone (847) 754-1718
Other names 1
- Kristin Arlene Swanson
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 Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Supportive Care ABA VA LLC | Behavior Analyst | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- McLean, VA
- NPI 1053034231
Behavior Analyst
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782432000000",
"number": "1689066565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13652 DERBY LINE RD",
"city": "GENOA",
"state": "IL",
"postal_code": "601358028",
"telephone_number": "847-754-1718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 PERRY ST",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302631918",
"telephone_number": "847-754-1718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASCHUB",
"first_name": "KRISTIN",
"middle_name": "ARLENE JENNY",
"credential": "MS BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-02",
"last_updated": "2026-06-26",
"certification_date": "2026-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IL",
"license": "1-14-17389",
"primary": true
},
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "IL",
"license": "1-14-17389",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTIN",
"last_name": "SWANSON",
"middle_name": "ARLENE",
"credential": "MS BCBA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Newnan, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.