Individual provider · Type 1 NPI

Kristen Black, M.ED., BCBA, LBA

Behavior Analyst · Southaven, MS

NPI number 1245096239 Active

Practice location

3272 Champion Hills Dr
Southaven, MS 38672-7539

Specialties and licenses

Taxonomy	Code	License
Behavior Analyst Primary	103K00000X	2347 (TN)

Behavior Analyst: 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…

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About NPI 1245096239

Kristen Black, M.ED., BCBA, LBA's National Provider Identifier is 1245096239, issued on Feb 27, 2024. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Southaven, MS. The record was last updated on Aug 13, 2026.