Provider Demographics
NPI:1790177723
Name:SCHWAB, HEATHER (BCABA)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:SCHWAB
Suffix:
Gender:F
Credentials:BCABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 S WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:SD
Mailing Address - Zip Code:57401-4348
Mailing Address - Country:US
Mailing Address - Phone:605-262-2126
Mailing Address - Fax:
Practice Address - Street 1:405 S WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:SD
Practice Address - Zip Code:57401-4348
Practice Address - Country:US
Practice Address - Phone:605-262-2126
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-27
Last Update Date:2015-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst