Individual
NICOLE MARIE SCHROEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
5420 W 151RST ST., LEAWOOD, KS 66224
(913) 219-5696
Mailing address
6500 NW TOWER DR, PLATTE WOODS, MO 64151-4463
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2019014046
MO
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BACB348220
TRICARE
MO
Enumeration date
01/08/2018
Last updated
06/13/2019
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