MEDICARE: NICHOLAS SCHWER BCBA, LBA

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	2025046938	MO

General Provider Information

NPI Number	:	1083218432
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICHOLAS SCHWER BCBA, LBA

Provider Business Mailing Address
First Line	:	1917 WHITE HAVEN DR
Second Line	:
City	:	IMPERIAL
State	:	MO
Zip	:	63052-3073
Country	:	US
Telephone Number	:	314-609-8845
Fax Number	:

Provider Business Practice Location Address
First Line	:	2240 BENNINGTON PL
Second Line	:
City	:	MARYLAND HEIGHTS
State	:	MO
Zip	:	63043-2223
Country	:	US
Telephone Number	:	314-390-6923
Fax Number	:

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

Provider Enumeration Date	:	11/25/2020
Last Update Date	:	11/09/2025

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