Tyler Kelly Krueger, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-12-10041 Issued in MN

Practice address

2147 University Ave W Ste 205
Saint Paul, MN 55114-1327

Phone

(920) 664-3050

Fax

(651) 352-2706

NPI assigned

Mar 7, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Better Life Inc

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Saint Paul, MN
  • NPI 1619681590
  NPD

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

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1356615488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "957 ARMSTRONG AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551023709",
            "telephone_number": "920-664-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2147 UNIVERSITY AVE W STE 205",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141327",
            "telephone_number": "920-664-3050",
            "fax_number": "651-352-2706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUEGER",
        "first_name": "TYLER",
        "middle_name": "KELLY",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-07",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-12-10041",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WI",
            "license": "1-12-10041",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MN",
            "license": "1-12-10041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darrah Krotz, LPCC, LADC
• Georgi Kroupin, LP MA
• Richelle Marie Krueger Peterson, DC
• Alicia M Krueger, APRN
• Jacob Douglas Krueger, PA-C
• Amelia Schuster Krug, MD
• Emily Joy Kruger, PT
• Jennifer Kruger
• John Henry Krumberger, PHD
• Katie J Krumwiede, MD

• Behavior Analyst in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Behavior Analyst in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; 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.