Kristen Mae Sweet Gibbs, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-22-62976 Issued in GA

Practice address

3662 Cedarcrest Rd Ste 220
Acworth, GA 30101-8940

Phone

(470) 531-0510

NPI assigned

Feb 25, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Commonwealth Autism Care

  dba Commonwealth ABA

  • Behavior Analyst
  • Florence, KY
  • NPI 1215682356
  NPD (past)

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1750915153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 INTERNATIONAL PKWY STE 200",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3662 CEDARCREST RD STE 220",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301018940",
            "telephone_number": "470-531-0510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 International Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lake Mary",
            "state": "FL",
            "postal_code": "327465028",
            "country_code": "US",
            "telephone_number": "866-610-0580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWEET GIBBS",
        "first_name": "KRISTEN",
        "middle_name": "MAE",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-25",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "1-22-62976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandi Sturdivant
• Thania Mari Suarez, RN
• Superior Healthcare of Acworth, LLC
• Superior Healthcare of Bells Ferry, LLC
• Swarnalatha Inderjith.MD.PC (Tricounty Behavioral Health Clinic)
• Swift Diagnostics Center LLC
• Synergize Health Services, LLC
• Synergy Homecare
• Synergy Medical Centers, LLC.
• Eric C Tabano, D.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.