NPIMap

Individual provider Active NPI

Kristan Elsken, BCBA, LBA

  • Behavior Analyst
  • Bentonville, AR
National Provider Identifier
1760839245
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
2015028481 Issued in MO
Practice address
606 SW Keystone St
Bentonville, AR 72712-5640
Phone
(501) 339-6124
NPI assigned
May 16, 2016
Last updated
May 16, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 2015028481 MO Primary

Addresses

Primary practice location

606 SW Keystone St
Bentonville, AR 72712-5640

Mailing address

606 SW Keystone St
Bentonville, AR 72712-5640
Phone (501) 339-6124

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

State licenses

LicenseStateTypeSpecialty
2015028481MOMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Springhealth Behavioral Health and Integrated Care Missouri, LLC Behavior Analyst Past Accepting new patients
Compass ABA LLC Behavior Analyst Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1760839245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 SW KEYSTONE ST",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727125640",
            "telephone_number": "501-339-6124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 SW KEYSTONE ST",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727125640",
            "telephone_number": "501-339-6124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSKEN",
        "first_name": "KRISTAN",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-16",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": "2015028481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bentonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; 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.