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NPI Code Detail

MEDICARE: MRS. CAMI MARIE SCHMIDTKE MS, BCBA

MEDICARE:  MRS. CAMI MARIE SCHMIDTKE  MS, BCBA
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 Analyst1-19-35807

General Provider Information

NPI Number : 1679037030
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CAMI MARIE SCHMIDTKE MS, BCBA
Provider Business Mailing Address
First Line : 148 ROSEMONT PL
Second Line :
City : BOSSIER CITY
State : LA
Zip : 71112-8796
Country : US
Telephone Number : 586-914-6092
Fax Number :
Provider Business Practice Location Address
First Line : 4440 VIKING DR STE 400
Second Line :
City : BOSSIER CITY
State : LA
Zip : 71111-7511
Country : US
Telephone Number : 318-588-8908
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2019
Last Update Date : 06/17/2025

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Directions to “ MRS. CAMI MARIE SCHMIDTKE MS, BCBA” Practice Location

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