Healthcare Provider Details

I. General information

NPI: 1255877809
Provider Name (Legal Business Name): LINDSAY MARIE SCHMIDT BCBA, MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/06/2017
Last Update Date: 01/06/2022
Certification Date: 01/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31557 SCHOOLCRAFT RD STE 200
LIVONIA MI
48150-1848
US

IV. Provider business mailing address

1500 S DOUGLAS RD STE 230
CORAL GABLES FL
33134-4108
US

V. Phone/Fax

Practice location:
  • Phone: 734-474-2958
  • Fax:
Mailing address:
  • Phone: 844-854-9711
  • Fax: 305-846-9711

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number7402000087
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number7402000078
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: