Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kristan Kevin San Juan, BCBA

Individual provider Behavior Analyst · NPI 1649744038

Kristan Kevin San Juan, BCBA is a Behavior Analyst in Smyrna, Georgia. Licensed in Georgia. Registered with an NPI since 2019.

Licensed in
GA
In the registry since
2019
What do these letters mean?
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

200 Technology Ct SE Ste E
Smyrna, GA 30082-5203
Phone: (770) 277-6293
Fax: (770) 288-0446
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence LBA002064 (GA)

Record details

NPI number1649744038
Entity typeIndividual (Type 1)
GenderMale
Credentials BCBA
Sole proprietorNo
NPI enumeratedJanuary 18, 2019
Last updated in NPPESMarch 10, 2026
Certification dateMarch 10, 2026

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