Erin Krzysik, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

710 Columbus Ave
West Branch, MI 48661-8761

Phone

(989) 701-2061

NPI assigned

May 4, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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.

• Enhanced Behavioral Respite Inc.

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Saginaw, MI
  • NPI 1619503356
  NPD
• ABA Pathways, LLC

  • Behavior Analyst
  • Ann Arbor, MI
  • NPI 1770838468
  NPD (past)

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1801242201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 663",
            "city": "LAKELAND",
            "state": "MI",
            "postal_code": "481430663",
            "telephone_number": "810-599-2129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 COLUMBUS AVE",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486618761",
            "telephone_number": "989-701-2061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "580 Laconia Rd",
            "address_purpose": "LOCATION",
            "city": "Tilton",
            "state": "NH",
            "postal_code": "032765321",
            "country_code": "US",
            "telephone_number": "603-831-3091",
            "fax_number": "603-410-1105",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "470 Pine St",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031046222",
            "country_code": "US",
            "telephone_number": "603-831-3091",
            "fax_number": "603-410-1105",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "57 Regional Dr Ste 7",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "033018518",
            "country_code": "US",
            "telephone_number": "603-224-7630",
            "fax_number": "603-410-1105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRZYSIK",
        "first_name": "ERIN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-04",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NH",
            "license": "1-19-40060",
            "primary": false
        },
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD CERTIFIED ASSISTANT BEHAVIOR ANALYST",
            "identifier": "0-18-8534",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zachary Allen Kimball, DC
• Chloe King
• Diane Dalene Denice Kline-Gorney, LBSW
• Kmart Pharmacy
• Jaycei May Kruger
• Vijay Kumar, PT,PHD
• Rachel Laszko, MD
• Selena Lazo
• Leelin Home Health Care, Inc
• Leelin Home Health Care, Inc

• Behavior Analyst in West Branch, MI
• Providers in West Branch, MI by specialty
• Behavior Analyst in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.