Active NPI
Kamryn Crider
- Behavior Analyst
- Springdale, AR
National Provider Identifier
1912573262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 12364804
- Practice address
- 105 S Blair St
Springdale, AR 72764-4410 - Phone
- (870) 897-5496
- NPI assigned
- May 27, 2021
- 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 Analyst | 103K00000X | 12364804 | AR | Primary |
Addresses
Primary practice location
105 S Blair St
Springdale, AR 72764-4410
Mailing address
1707 Linwood Dr Ste D
Paragould, AR 72450-5365
Phone (479) 222-1082
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 299437790 | Medicaid | AR |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12364804 | AR | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776384000000",
"number": "1912573262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1707 LINWOOD DR STE D",
"city": "PARAGOULD",
"state": "AR",
"postal_code": "724505365",
"telephone_number": "479-222-1082",
"fax_number": "888-420-0239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 S BLAIR ST",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727644410",
"telephone_number": "870-897-5496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRIDER",
"first_name": "KAMRYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-27",
"last_updated": "2026-04-17",
"certification_date": "2026-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "AR",
"license": "12364804",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "299437790",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Springdale, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.