Active NPI
Kristin Bandi, BCBA, LBA
- Behavior Analyst
- Rockville, MD
National Provider Identifier
1972816098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-10-7809
- Practice address
- 15205 Candytuft LN
Rockville, MD 20853-1579 - Phone
- (813) 728-1881
- NPI assigned
- Jul 18, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | LBA308 | MD | |
| Behavior Analyst | 103K00000X | 1-10-7809 | FL | Primary |
Addresses
Primary practice location
15205 Candytuft LN
Rockville, MD 20853-1579
Mailing address
15205 Candytuft LN
Rockville, MD 20853-1579
Phone (813) 728-1881
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 |
|---|---|---|---|
| LBA308 | MD | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492128000000",
"number": "1972816098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15205 CANDYTUFT LN",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208531579",
"telephone_number": "813-728-1881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15205 CANDYTUFT LN",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208531579",
"telephone_number": "813-728-1881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANDI",
"first_name": "KRISTIN",
"credential": "BCBA, LBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-18",
"last_updated": "2017-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MD",
"license": "LBA308",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-10-7809",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.