Healthcare Provider Details

I. General information

NPI: 1528535861
Provider Name (Legal Business Name): ANTHONY S SCHMIT BCBA 1-25-80253
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/24/2018
Last Update Date: 04/08/2025
Certification Date: 04/08/2025
Deactivation Date: 03/28/2025
Reactivation Date: 04/08/2025

III. Provider practice location address

887 E WILMETTE RD
PALATINE IL
60074-6495
US

IV. Provider business mailing address

3303 WOODLAND CIR N
ISLAND LAKE IL
60042-9490
US

V. Phone/Fax

Practice location:
  • Phone: 847-376-9191
  • Fax:
Mailing address:
  • Phone: 847-385-1640
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-25-80253
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-18-68711
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: