Provider Demographics
NPI:1467065227
Name:SCHNUERLE, BRIANA LEE (BS, IS)
Entity Type:Individual
Prefix:MRS
First Name:BRIANA
Middle Name:LEE
Last Name:SCHNUERLE
Suffix:
Gender:F
Credentials:BS, IS
Other - Prefix:MS
Other - First Name:BRIANA
Other - Middle Name:LEE
Other - Last Name:FONNESBECK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS, HI
Mailing Address - Street 1:719 5TH AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:ID
Mailing Address - Zip Code:83501-2414
Mailing Address - Country:US
Mailing Address - Phone:208-503-2106
Mailing Address - Fax:
Practice Address - Street 1:719 5TH AVE APT 1
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ID
Practice Address - Zip Code:83501-2414
Practice Address - Country:US
Practice Address - Phone:208-503-2106
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-30
Last Update Date:2020-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician