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NPI Code Detail

MEDICARE: KEVIN SCHNEIDER MA, LBA, BCBA

MEDICARE: KEVIN SCHNEIDER MA, LBA, 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 Analyst7401001529MI

General Provider Information

NPI Number : 1952836215
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN SCHNEIDER MA, LBA, BCBA
Provider Business Mailing Address
First Line : 376 E APPLE AVE
Second Line :
City : MUSKEGON
State : MI
Zip : 49442-3466
Country : US
Telephone Number : 231-557-3724
Fax Number : 231-332-3843
Provider Business Practice Location Address
First Line : 640 SEMINOLE RD
Second Line :
City : NORTON SHORES
State : MI
Zip : 49441-4720
Country : US
Telephone Number : 231-332-3827
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2017
Last Update Date : 09/21/2021

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