Provider Demographics
NPI:1487170833
Name:HACKNEY, KRISTEN (BCABA)
Entity type:Individual
Prefix:MRS
First Name:KRISTEN
Middle Name:
Last Name:HACKNEY
Suffix:
Gender:F
Credentials:BCABA
Other - Prefix:MS
Other - First Name:KRISTEN
Other - Middle Name:
Other - Last Name:HOELSCHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RBT
Mailing Address - Street 1:1020 TRIMMIER RD
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76541-8029
Mailing Address - Country:US
Mailing Address - Phone:254-760-0494
Mailing Address - Fax:
Practice Address - Street 1:1020 TRIMMIER RD
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76541-8029
Practice Address - Country:US
Practice Address - Phone:254-760-0494
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2815106E00000X
103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst