Individual
MINDY KRAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, BCBA, LBA
Contact information
Practice address
18521 E QUEEN CREEK RD STE 105-627, QUEEN CREEK, AZ 85142-5870
(480) 361-1025
(480) 814-7488
Mailing address
18521 E QUEEN CREEK RD STE 105-627, QUEEN CREEK, AZ 85142-5870
(480) 361-1025
(480) 814-7488
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-36418
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-19-36418
BEHAVIOR ANALYST CERTIFICATION BOARD
AZ
01
—
BEH-000476
ARIZONA STATE BOARD OF PSYCHOLOGIST EXAMINERS
AZ
Enumeration date
12/21/2017
Last updated
07/19/2019
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