Healthcare Provider Details

I. General information

NPI: 1851087225
Provider Name (Legal Business Name): THOMAS WILLIAM KRAUSE JR. BCBA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/17/2023
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9901 NE 7TH AVE STE C116
VANCOUVER WA
98685-4528
US

IV. Provider business mailing address

11304 SE 10TH ST APT X11
VANCOUVER WA
98664-6163
US

V. Phone/Fax

Practice location:
  • Phone: 360-571-2432
  • Fax:
Mailing address:
  • Phone: 801-803-2874
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-22-250739
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-88092
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: