Kimberly Courrau, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

LBA038 Issued in MD

Practice address

10015 Old Columbia Rd Ste B215
Columbia, MD 21046-1865

Phone

(443) 800-4985

NPI assigned

Jun 15, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advancing Beyond the Spectrum LLC

  • Behavior Analyst
  • Baltimore, MD
  • NPI 1801284484
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1134414337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3717 BOSTON ST STE 148",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212245752",
            "telephone_number": "443-800-4985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10015 OLD COLUMBIA RD STE B215",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461865",
            "telephone_number": "443-800-4985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURRAU",
        "first_name": "KIMBERLY",
        "name_prefix": "Ms.",
        "credential": "BCBA, LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-15",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MD",
            "license": "LBA038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Coulter, MD
• Wanda Council, PHLEBOTOMIST
• Counseling and Personal Empowerment Services, LLC
• Felita Cheryl Countess
• Marie E Cournoyer, M.S. RN CS-P
• Nakia Coursey, LCPC
• Samantha Lynne Courtemanche
• Courtnay Kopec LLC
• Laura Couvillion
• Matthew Cova Escobar

• Behavior Analyst in Columbia, MD
• Providers in Columbia, MD by specialty
• Behavior Analyst in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.