Provider Demographics
NPI:1700575263
Name:SCHNEIDER, JAMIE LYNN (MA, BCBA)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:LYNN
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:LYNN
Other - Last Name:QUILLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:28108 N LEWELLEN CREEK RD
Mailing Address - Street 2:
Mailing Address - City:ATHOL
Mailing Address - State:ID
Mailing Address - Zip Code:83801-9763
Mailing Address - Country:US
Mailing Address - Phone:208-661-0673
Mailing Address - Fax:
Practice Address - Street 1:4742 N 24TH ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-4858
Practice Address - Country:US
Practice Address - Phone:480-508-2555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-02
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst