MEDICARE: KATIE LYNN SCHRAMM

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	7401001687	MI

General Provider Information

NPI Number	:	1881125466
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATIE LYNN SCHRAMM

Provider Business Mailing Address
First Line	:	3710 KATALIN CT
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48706-2160
Country	:	US
Telephone Number	:	989-324-2012
Fax Number	:

Provider Business Practice Location Address
First Line	:	3710 KATALIN CT
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48706-2160
Country	:	US
Telephone Number	:	989-324-2012
Fax Number	:

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

Provider Enumeration Date	:	03/24/2017
Last Update Date	:	04/11/2022

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Directions to “ KATIE LYNN SCHRAMM ” Practice Location

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