KRYSTAL SAMUEL BCBA
NPI 1255053245
Behavior Analyst in Alpena, MI

Active since September 15, 2022
350 PINECREST ST, ALPENA, MI 49707(989) 278-8878 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 3, 2025, Sep 15, 2022 (2 updates tracked since 2022).

About Krystal Samuel Bcba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRYSTAL SAMUEL BCBA (NPI 1255053245) is an individual behavior analyst provider in Alpena, Michigan and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1255053245
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameKRYSTAL SAMUELCredential: BCBA
Location Address350 PINECREST STAlpena, MI 49707-1328
Mailing AddressPo Box 663Lakeland, MI 48143-0663 · (810) 599-2129
Sole ProprietorNo
Enumeration DateSeptember 15, 2022
Last NPPES UpdateMarch 3, 20252 updates tracked since enumeration
NPPES CertifiedMarch 3, 2025
NPI 1255053245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
Definition

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Also ListedBehavior TechnicianTaxonomy 106S00000X
350 PINECREST ST, Alpena, MI 49707

Other Names 1

Other Name (5)Krystal Greentree

Accepted Insurance

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
350 PINECREST ST
ALPENA, MI 49707
Behavior Technician
350 PINECREST ST
ALPENA, MI 49707
Behavior Technician
350 PINECREST ST
ALPENA, MI 49707
Behavior Technician
350 PINECREST ST
ALPENA, MI 49707
Behavior Technician
350 PINECREST ST
ALPENA, MI 49707
Behavior Technician
350 PINECREST ST
ALPENA, MI 49707
Behavior Technician
350 PINECREST ST
ALPENA, MI 49707
Behavior Technician
350 PINECREST ST
ALPENA, MI 49707

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255053245, enumerated as an "individual" on September 15, 2022.

The provider is located at 350 PINECREST ST ALPENA, MI 49707 and the phone number is (989) 278-8878.

Behavior Analyst with taxonomy code 103K00000X.

The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.