Provider Demographics
NPI:1003223918
Name:SCHMIDT, CARLA THOMAS (PHD, BCBA-D)
Entity Type:Individual
Prefix:DR
First Name:CARLA
Middle Name:THOMAS
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:PHD, BCBA-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47-685 HUI KELU ST
Mailing Address - Street 2:APT 4
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-4632
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:47-685 HUI KELU ST
Practice Address - Street 2:APT 4
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744-4632
Practice Address - Country:US
Practice Address - Phone:808-387-4510
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-14
Last Update Date:2014-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1-13-12828103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst