Healthcare Provider Details

I. General information

NPI: 1104063171
Provider Name (Legal Business Name): EMILY SCHMITT M.A., SLP-CCC, BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/13/2009
Last Update Date: 03/20/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1013 SUMMIT HILLS LANE
NAPERVILLE IL
60563
US

IV. Provider business mailing address

1013 SUMMIT HILLS LANE
NAPERVILLE IL
60563
US

V. Phone/Fax

Practice location:
  • Phone: 630-781-5506
  • Fax:
Mailing address:
  • Phone: 630-781-5506
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number108739
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1/14/9896
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: