Provider Demographics
NPI:1104204809
Name:KRAUS, COURTNEY (BCBA, LBA, MS ED)
Entity type:Individual
Prefix:MRS
First Name:COURTNEY
Middle Name:
Last Name:KRAUS
Suffix:
Gender:
Credentials:BCBA, LBA, MS ED
Other - Prefix:MS
Other - First Name:COURTNEY
Other - Middle Name:
Other - Last Name:MILES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1304 S PINE ST
Mailing Address - Street 2:
Mailing Address - City:OTTAWA
Mailing Address - State:KS
Mailing Address - Zip Code:66067-3273
Mailing Address - Country:US
Mailing Address - Phone:785-418-7974
Mailing Address - Fax:
Practice Address - Street 1:6910 SILVERHEEL ST
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:KS
Practice Address - Zip Code:66226-5316
Practice Address - Country:US
Practice Address - Phone:913-405-4550
Practice Address - Fax:913-273-2452
Is Sole Proprietor?:No
Enumeration Date:2015-05-13
Last Update Date:2025-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLBA00829103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst