MEDICARE: JESSICA ANN SCHMIDT RBT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1053062828
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA ANN SCHMIDT RBT

Provider Business Mailing Address
First Line	:	1114 WOLFRUM RD
Second Line	:
City	:	WELDON SPRING
State	:	MO
Zip	:	63304-7796
Country	:	US
Telephone Number	:	636-266-4340
Fax Number	:

Provider Business Practice Location Address
First Line	:	1114 WOLFRUM RD
Second Line	:
City	:	WELDON SPRING
State	:	MO
Zip	:	63304-7796
Country	:	US
Telephone Number	:	636-266-4340
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2022
Last Update Date	:	06/01/2026

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Directions to “ JESSICA ANN SCHMIDT RBT” Practice Location

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