Healthcare Provider Details
I. General information
NPI: 1962683730
Provider Name (Legal Business Name): VERONICA JOKER SCHAMA MA, BCBA, LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/20/2007
Last Update Date: 03/09/2021
Certification Date: 03/09/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1200 W SOUTH BOULDER RD STE 204
LAFAYETTE CO
80026-2833
US
IV. Provider business mailing address
1200 W SOUTH BOULDER RD STE 204
LAFAYETTE CO
80026-2833
US
V. Phone/Fax
- Phone: 720-837-2348
- Fax: 303-554-5657
- Phone: 720-837-2348
- Fax: 303-554-5657
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225500000X |
| Taxonomy | Respiratory/Developmental/Rehabilitative Specialist/Technologist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | 1-00-0135 |
| License Number State | TN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: