Provider Demographics
NPI:1275170946
Name:BATCHLER, KRISTINA ISABELLA KREIDER (MS, BCBA, LBA)
Entity type:Individual
Prefix:
First Name:KRISTINA
Middle Name:ISABELLA KREIDER
Last Name:BATCHLER
Suffix:
Gender:F
Credentials:MS, BCBA, LBA
Other - Prefix:
Other - First Name:KRISTINA
Other - Middle Name:ISABELLA
Other - Last Name:KREIDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, BCBA, LBA
Mailing Address - Street 1:27777 INKSTER RD STE 100
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-5312
Mailing Address - Country:US
Mailing Address - Phone:855-772-8847
Mailing Address - Fax:248-621-3830
Practice Address - Street 1:220 CORPORATE BOULEVARD
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502
Practice Address - Country:US
Practice Address - Phone:855-772-8847
Practice Address - Fax:248-621-3830
Is Sole Proprietor?:No
Enumeration Date:2019-12-02
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0133002512103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1275170946Medicaid