Individual provider Active NPI

Crissy Starr Jackson, BCBA, LBA, IBA

  • Behavior Analyst
  • Lenexa, KS
National Provider Identifier
1851876940
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
8700 Monrovia St Ste 310
Lenexa, KS 66215-3500
Phone
(913) 443-6877
NPI assigned
Sep 25, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1811089014 VA
Behavior AnalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

8700 Monrovia St Ste 310
Lenexa, KS 66215-3500

Mailing address

8700 Monrovia St Ste 310
Lenexa, KS 66215-3500
Phone (913) 443-6877

Other names 1

  • Miss Crissy Starr Ryun Former name

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
1811089014VAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
The Itd Group LLC Behavior Analyst Past Accepting new patients
Mental Health Services En Espanol LLC Behavior Analyst Past Accepting new patients
Supportive Care ABA VA LLC Behavior Analyst Past Accepting new patients
Supportive Care ABA in LLC Behavior Analyst Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1851876940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 MONROVIA ST STE 310",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662153500",
            "telephone_number": "913-443-6877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 MONROVIA ST STE 310",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662153500",
            "telephone_number": "913-443-6877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "CRISSY",
        "middle_name": "STARR",
        "name_prefix": "Mrs.",
        "credential": "BCBA, LBA, IBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-25",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "1811089014",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRISSY",
            "last_name": "RYUN",
            "middle_name": "STARR",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lenexa, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.

Verify at the official NPI Registry.