Provider Demographics
NPI:1346567427
Name:SCHAEFER, JANET A (BCBA-D)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:A
Last Name:SCHAEFER
Suffix:
Gender:F
Credentials:BCBA-D
Other - Prefix:DR
Other - First Name:JANET
Other - Middle Name:A
Other - Last Name:BUTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCBA-D
Mailing Address - Street 1:4225 WEDDINGTON MATTHEWS RD
Mailing Address - Street 2:
Mailing Address - City:WEDDINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28104-9403
Mailing Address - Country:US
Mailing Address - Phone:877-712-2735
Mailing Address - Fax:702-924-2561
Practice Address - Street 1:13723 RIVENDELL CREST LN
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-0026
Practice Address - Country:US
Practice Address - Phone:877-712-2735
Practice Address - Fax:702-924-2561
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-28
Last Update Date:2016-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV1-03-1152103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst