1275170946 NPI number — KRISTINA ISABELLA KREIDER BATCHLER M.S., BCBA, LBA

Table of content: KRISTINA ISABELLA KREIDER BATCHLER M.S., BCBA, LBA (NPI 1275170946)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275170946 NPI number — KRISTINA ISABELLA KREIDER BATCHLER M.S., BCBA, LBA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BATCHLER
Provider First Name:
KRISTINA
Provider Middle Name:
ISABELLA KREIDER
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.S., BCBA, LBA
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
KREIDER
Provider Other First Name:
KRISTINA
Provider Other Middle Name:
ISABELLA
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.S., BCBA, LBA
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1275170946
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/25/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
27777 INKSTER RD STE 100
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FARMINGTON HILLS
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48334-5312
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
855-772-8847
Provider Business Mailing Address Fax Number:
248-621-3830

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
220 CORPORATE BOULEVARD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NORFOLK
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23502
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
855-772-8847
Provider Business Practice Location Address Fax Number:
248-621-3830
Provider Enumeration Date:
12/02/2019

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103K00000X , with the licence number:  0133002512 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1275170946 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".




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