Provider Demographics
NPI:1760102099
Name:BARBER, KRISTAN (RBT)
Entity Type:Individual
Prefix:
First Name:KRISTAN
Middle Name:
Last Name:BARBER
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:831 KY ROUTE 1100 E
Mailing Address - Street 2:
Mailing Address - City:EAST POINT
Mailing Address - State:KY
Mailing Address - Zip Code:41216-8719
Mailing Address - Country:US
Mailing Address - Phone:606-259-6515
Mailing Address - Fax:
Practice Address - Street 1:308 HORTON ST STE B
Practice Address - Street 2:
Practice Address - City:GRAYSON
Practice Address - State:KY
Practice Address - Zip Code:41143-1599
Practice Address - Country:US
Practice Address - Phone:270-283-3845
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-29
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician