Healthcare Provider Details

I. General information

NPI: 1982368981
Provider Name (Legal Business Name): LAUREN NICOLE SCHMUCKER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2021
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 SUSSEX AVE
MILFORD DE
19963-1853
US

IV. Provider business mailing address

200 CLEAVER FARMS RD STE 400
MIDDLETOWN DE
19709-1630
US

V. Phone/Fax

Practice location:
  • Phone: 302-327-9219
  • Fax:
Mailing address:
  • Phone: 302-449-2011
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberRBT-21-175860
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: