Healthcare Provider Details

I. General information

NPI: 1740108877
Provider Name (Legal Business Name): MAGGIE ROSE SCHADT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 W TOWN AND COUNTRY RD STE 1225
ORANGE CA
92868-4638
US

IV. Provider business mailing address

13530 FONSECA AVE
LA MIRADA CA
90638-3040
US

V. Phone/Fax

Practice location:
  • Phone: 657-565-3258
  • Fax:
Mailing address:
  • Phone: 714-542-2400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: