MEDICARE: JARED SCHONERT

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	:	1619800240
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JARED SCHONERT

Provider Business Mailing Address
First Line	:	PO BOX 745
Second Line	:
City	:	SALEM
State	:	IL
Zip	:	62881-0745
Country	:	US
Telephone Number	:	217-474-5993
Fax Number	:

Provider Business Practice Location Address
First Line	:	1045 E ELDORADO ST
Second Line	:
City	:	DECATUR
State	:	IL
Zip	:	62521-1915
Country	:	US
Telephone Number	:	217-474-5993
Fax Number	:

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

Provider Enumeration Date	:	06/04/2026
Last Update Date	:	06/04/2026

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Directions to “ JARED SCHONERT ” Practice Location

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