Individual provider · Type 1 NPI

Kristan Kevin San Juan, BCBA

Behavior Analyst · Smyrna, GA

NPI number 1649744038 Active

Practice location

200 Technology Ct SE Ste E
Smyrna, GA 30082-5203

Call (770) 277-6293 Map

Fax (770) 288-0446

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000XLBA002064 (GA)

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 1649744038

Kristan Kevin San Juan, BCBA's National Provider Identifier is 1649744038, issued on Jan 18, 2019. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Smyrna, GA. The record was last updated on Mar 10, 2026.