Provider Demographics
NPI:1528580537
Name:SCHAEFER WHITBY, PEGGY SCHAEFER (PHD, BCBA-D)
Entity Type:Individual
Prefix:
First Name:PEGGY
Middle Name:SCHAEFER
Last Name:SCHAEFER WHITBY
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 1:141 N FLETCHER AVE
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72701-4423
Mailing Address - Country:US
Mailing Address - Phone:479-397-2380
Mailing Address - Fax:
Practice Address - Street 1:141 N FLETCHER AVE
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72701-4423
Practice Address - Country:US
Practice Address - Phone:479-397-2380
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty