Active NPI
Tangala Krous
- Behavior Analyst
- O'Fallon, MO
National Provider Identifier
1083973234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 2012001900
- Practice address
- 321 Copper Tree CT
O Fallon, MO 63368-6339 - Phone
- (636) 265-0407
- NPI assigned
- May 9, 2012
- Last updated
- May 9, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 2012001900 | MO | Primary |
Addresses
Primary practice location
321 Copper Tree CT
O Fallon, MO 63368-6339
Mailing address
138 Hollyleaf Dr
Ballwin, MO 63021-6545
Phone (319) 360-1420
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012001900 | MO | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavior Solutions | Past | Accepting new patients | |
| Behavior Solutions, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1992721526
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336521600000",
"number": "1083973234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 HOLLYLEAF DR",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630216545",
"telephone_number": "319-360-1420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 COPPER TREE CT",
"city": "O FALLON",
"state": "MO",
"postal_code": "633686339",
"telephone_number": "636-265-0407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KROUS",
"first_name": "TANGALA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-09",
"last_updated": "2012-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MO",
"license": "2012001900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in O'Fallon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.