Healthcare Provider Details

I. General information

NPI: 1003498833
Provider Name (Legal Business Name): SOPHIA SCHEER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2021
Last Update Date: 06/05/2025
Certification Date: 06/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10450 72ND AVE
PLEASANT PRAIRIE WI
53158-2911
US

IV. Provider business mailing address

12882 71ST ST APT 1111
KENOSHA WI
53142-8439
US

V. Phone/Fax

Practice location:
  • Phone: 262-657-6453
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-25-81590
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: