Provider Demographics
NPI:1275308876
Name:SCHOENBORN, ANNA
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:SCHOENBORN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 KAKALA ST APT 45
Mailing Address - Street 2:
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707-4550
Mailing Address - Country:US
Mailing Address - Phone:949-701-8771
Mailing Address - Fax:
Practice Address - Street 1:801 KAKALA ST
Practice Address - Street 2:
Practice Address - City:KAPOLEI
Practice Address - State:HI
Practice Address - Zip Code:96707-4549
Practice Address - Country:US
Practice Address - Phone:949-701-8771
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-24
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician