NPI 1053946541

Courtney Kruis, RBT

Practitioner Behavior Analyst Olivette, MO

Practice location

Address: 9374 Olive Blvd STE 101, Olivette, MO 63132-3253
Phone: (314) 932-2402

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence RBT-19-97618 (MO)

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Registry record

NPI: 1053946541
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Mar 2020
Record last updated: 5 Mar 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.