Kristin Nicole Harris, M.S. ED., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

000369-1 Issued in NY

Practice address

73 Thompson Hay Path
Setauket, NY 11733-1330

Phone

(631) 682-0153

NPI assigned

Jun 19, 2012

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1780947218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 THOMPSON HAY PATH",
            "city": "SETAUKET",
            "state": "NY",
            "postal_code": "117331330",
            "telephone_number": "631-682-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 THOMPSON HAY PATH",
            "city": "SETAUKET",
            "state": "NY",
            "postal_code": "117331330",
            "telephone_number": "631-682-0153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "KRISTIN",
        "middle_name": "NICOLE",
        "name_prefix": "Miss",
        "credential": "M.S. ED., BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-19",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "000369-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PUBLIC SCHOOL TEACHER CERTIFICATE",
            "identifier": "2167178",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Devorah Grossbaum
• Anthony Guglielmo, R.PH
• Nicole Guido
• Elizabeth Lopez Haggerty, PH.D.
• Harold Joseph MD
• Marie Hassard, LCSW-R
• Jennifer M Haupt, LMT
• Hayes Physical Therapy, PC
• Sean J Hayes, MSPT
• Scott Matthew Herfel, PA

• Behavior Analyst in Setauket, NY
• Providers in Setauket, NY by specialty
• Behavior Analyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.