Kristen Lynn Anderle, MED, BCBA, LBA
Individual provider Active NPI Behavior Analyst · Tomball, TX
NPI 1992523302 · NPPES record last updated Oct 3, 2024
Key facts
- NPI
- 1992523302
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 7564 (TX)
- Practice address
- 14426 Medical Complex Dr
Tomball, TX 77377-6434 - Phone
- (281) 205-8421
- NPI assigned
- Oct 3, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7564 | TX | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 7564 | TX | Yes |
Addresses
Primary practice location
14426 Medical Complex Dr
Tomball, TX 77377-6434
Mailing address
14426 Medical Complex Dr
Tomball, TX 77377-6434
Phone (281) 205-8421
Other providers in Tomball, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.