Healthcare Provider Details

I. General information

NPI: 1174880355
Provider Name (Legal Business Name): CHRISTINE SCHOENER BCBA, LBS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2012
Last Update Date: 04/25/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10541 DRUMMOND RD
PHILADELPHIA PA
19154-3807
US

IV. Provider business mailing address

10541 DRUMMOND RD
PHILADELPHIA PA
19154-3807
US

V. Phone/Fax

Practice location:
  • Phone: 267-301-5282
  • Fax: 215-632-6426
Mailing address:
  • Phone: 267-301-5282
  • Fax: 215-632-6426

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number00294280
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberBH001803
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: