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NPI Code Detail

MEDICARE: LINDSAY MARIE SCHMIDT BCBA, MA

MEDICARE: LINDSAY MARIE SCHMIDT BCBA, MA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106E00000XAssistant Behavior Analyst7402000087MI
2106S00000XBehavior Technician
3103K00000XBehavior Analyst7402000078MI

General Provider Information

NPI Number : 1255877809
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSAY MARIE SCHMIDT BCBA, MA
Provider Business Mailing Address
First Line : 1500 S DOUGLAS RD STE 230
Second Line :
City : CORAL GABLES
State : FL
Zip : 33134-4108
Country : US
Telephone Number : 844-854-9711
Fax Number : 305-846-9711
Provider Business Practice Location Address
First Line : 31557 SCHOOLCRAFT RD STE 200
Second Line :
City : LIVONIA
State : MI
Zip : 48150-1848
Country : US
Telephone Number : 734-474-2958
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2017
Last Update Date : 01/06/2022

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