Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 106S00000X | Behavior Technician | ||
Y | 156F00000X | Technician/Technologist |
NPI | 1003421967 |
---|---|
Provider Name | Heather Schmidt |
First Address | Shelby Twp, MI 48317-1347 |
Second Address | Shelby Twp, MI 48317-1347 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2020 |
Last Update Date | 28/06/2021 |