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NPI Code Detail

MEDICARE: TRACY LYNNE SCHMITT LBA

MEDICARE: TRACY LYNNE SCHMITT 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
1103K00000XBehavior Analyst114KS

General Provider Information

NPI Number : 1245404821
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRACY LYNNE SCHMITT LBA
Provider Business Mailing Address
First Line : 480 S ROGERS RD
Second Line :
City : OLATHE
State : KS
Zip : 66062-1706
Country : US
Telephone Number : 913-324-3823
Fax Number : 913-780-3387
Provider Business Practice Location Address
First Line : 620 S ROGERS RD
Second Line :
City : OLATHE
State : KS
Zip : 66062-1704
Country : US
Telephone Number : 913-324-3823
Fax Number : 913-780-3387
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2008
Last Update Date : 01/31/2017

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Directions to “ TRACY LYNNE SCHMITT LBA” Practice Location

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