Healthcare Provider Details

I. General information

NPI: 1598053738
Provider Name (Legal Business Name): ASTRID SCHEER HALL LMHC, BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2011
Last Update Date: 07/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 SW 7TH TER
GAINESVILLE FL
32601-6459
US

IV. Provider business mailing address

11302 SE US HWY 301
HAWTHORNE FL
32640
US

V. Phone/Fax

Practice location:
  • Phone: 352-379-2829
  • Fax:
Mailing address:
  • Phone: 352-215-3825
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH 2744
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberBACB 1-03-1051
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: