Krista Jade Lee, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-20-45125

Practice address

300 N 10TH St
Gas City, IN 46933-1605

Phone

(888) 877-7222

NPI assigned

Jun 27, 2019

Last updated

May 23, 2024By the provider in NPPES

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 names 1

• Krista Kranz Former name

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• School-Based Behavior Consultation LLC

  • Behavior Analyst
  • New Palestine, IN
  • NPI 1275151987
  NPD (past)

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1881255131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 LEXINGTON AVE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468072126",
            "telephone_number": "773-759-3964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N 10TH ST",
            "city": "GAS CITY",
            "state": "IN",
            "postal_code": "469331605",
            "telephone_number": "888-877-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KRISTA",
        "middle_name": "JADE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-27",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-20-45125",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "IN",
            "license": "0-19-9898",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTA",
            "last_name": "KRANZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hoosier Enterprises III, Inc. (Twin City Healthcare)
• Makensie Huggins
• JMS Services Inc. (Sabo Discount Pharmacy)
• Jon Kevin Blake MD (Jon K. Blake MD)
• Krista Lee King
• Marion General Hospital
• Marion General Hospital (Gas City Medical Center of MGH)
• McKee Chiropractic Inc.
• Jeremy William McKee, D.C.
• Mississinewa Community School District

• Behavior Analyst in Gas City, IN
• Providers in Gas City, IN by specialty
• Behavior Analyst in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; 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.