Provider Demographics
NPI:1548980873
Name:SCHRAEDER, KERA P
Entity type:Individual
Prefix:
First Name:KERA
Middle Name:P
Last Name:SCHRAEDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KERA
Other - Middle Name:P
Other - Last Name:MCCAIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3415 N DIXIELAND RD
Mailing Address - Street 2:
Mailing Address - City:LITTLE FLOCK
Mailing Address - State:AR
Mailing Address - Zip Code:72756-6817
Mailing Address - Country:US
Mailing Address - Phone:501-328-3274
Mailing Address - Fax:
Practice Address - Street 1:3415 N DIXIELAND RD
Practice Address - Street 2:
Practice Address - City:LITTLE FLOCK
Practice Address - State:AR
Practice Address - Zip Code:72756-6817
Practice Address - Country:US
Practice Address - Phone:501-328-3274
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-29
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXRBT-21-186415106S00000X
AR1-25-81807103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician