Active NPI
Keah Kraus
- Behavior Analyst
- Largo, FL
National Provider Identifier
1235685447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 0178373
- Practice address
- 12505 Starkey Rd Ste JK
Largo, FL 33773-2621 - Phone
- (727) 280-6643
- Fax
- (888) 972-6190
- NPI assigned
- Aug 28, 2016
- 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 | 0178373 | FL | Primary |
Addresses
Primary practice location
12505 Starkey Rd Ste JK
Largo, FL 33773-2621
Mailing address
12505 Starkey Rd Ste JK
Largo, FL 33773-2621
Phone (727) 280-6643
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 |
|---|---|---|---|
| 0178373 | FL | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551225600000",
"number": "1235685447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12505 STARKEY RD STE JK",
"city": "LARGO",
"state": "FL",
"postal_code": "337732621",
"telephone_number": "727-280-6643",
"fax_number": "888-972-6190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12505 STARKEY RD STE JK",
"city": "LARGO",
"state": "FL",
"postal_code": "337732621",
"telephone_number": "727-280-6643",
"fax_number": "888-972-6190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAUS",
"first_name": "KEAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-28",
"last_updated": "2019-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "0178373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.