Carli Kraemer, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-22-63008

Practice address

343 Fountains Pkwy Ste 201
Fairview Heights, IL 62208-2170

Phone

(618) 515-1441

NPI assigned

Aug 4, 2020

Last updated

Dec 11, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670716800000",
    "number": "1720698731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 FOUNTAINS PKWY STE 201",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622082170",
            "telephone_number": "618-515-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 FOUNTAINS PKWY STE 201",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622082170",
            "telephone_number": "618-515-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAEMER",
        "first_name": "CARLI",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-04",
        "last_updated": "2022-12-11",
        "certification_date": "2022-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-22-63008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Luna Knox, CNS
• Dianna Koesterer
• Abigail K Konecki
• Nicole Kovacic
• Alison Krack, DPT
• Steven Frederick Kramer, PHARM.D.
• Taylor Kreck
• Jake Brian Krekel, PHARMD
• Amanda Kurtz, D.C.
• Sarah Lafond, MHP

• Behavior Analyst in Fairview Heights, IL
• Providers in Fairview Heights, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2022; 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.