Active NPI
Kyrsten Anne Malloy
- Behavior Technician
- Crown Point, IN
National Provider Identifier
1891638110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 205 W Franciscan Dr
Crown Point, IN 46307-4802 - Phone
- (888) 998-5269
- NPI assigned
- Apr 11, 2026
- Last updated
- Apr 13, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | IN | Primary |
Addresses
Primary practice location
205 W Franciscan Dr
Crown Point, IN 46307-4802
Mailing address
625 Woodlawn Ave
Chesterton, IN 46304-1852
Phone (731) 777-8009
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776038400000",
"number": "1891638110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 WOODLAWN AVE",
"city": "CHESTERTON",
"state": "IN",
"postal_code": "463041852",
"telephone_number": "731-777-8009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 W FRANCISCAN DR",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463074802",
"telephone_number": "888-998-5269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALLOY",
"first_name": "KYRSTEN",
"middle_name": "ANNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-04-11",
"last_updated": "2026-04-13",
"certification_date": "2026-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crown Point, IN
- Majestic Care ABA LLC
- Majestic Care of Crown Point Alf LLC (Saint Anthony Assisted Living)
- Major Hospital (Healthcare Center at Wittenberg Village)
- Julie Ann Mallers
- Mary E Malloy-Rhee, LSSW
- Tameka Malone, MS CCC-SLP
- Natasha Mandula, DPM
- Emily Mangiaracina, OD
- Cecily Manibusan
- Jasmine Manitowabi, RBT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.