Provider Demographics
NPI:1821361460
Name:SCHMITTER, TERESA (BCBA)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:
Last Name:SCHMITTER
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 WAUGH ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65201-5085
Mailing Address - Country:US
Mailing Address - Phone:573-874-3777
Mailing Address - Fax:
Practice Address - Street 1:107 WAUGH ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65201-5085
Practice Address - Country:US
Practice Address - Phone:573-874-3777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-13
Last Update Date:2012-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2012001536103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst