MEDICARE: MRS. DANIELA ALICIA SCHMEICHLER

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
2	222Q00000X	Developmental Therapist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578858528
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DANIELA ALICIA SCHMEICHLER

Provider Business Mailing Address
First Line	:	2221 NE 7TH ST
Second Line	:
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-2874
Country	:	US
Telephone Number	:	786-286-6289
Fax Number	:	305-480-7078

Provider Business Practice Location Address
First Line	:	2221 NE 7TH ST
Second Line	:
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-2874
Country	:	US
Telephone Number	:	786-286-6289
Fax Number	:	305-480-7078

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

Provider Enumeration Date	:	06/16/2011
Last Update Date	:	06/16/2011

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