Individual provider Active NPI

Lydia Savannah Schnell

  • Behavior Technician
  • Milton, FL
National Provider Identifier
1033626346
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-17-35543 Issued in FL
Practice address
6810 Fort Jackson CT
Milton, FL 32583-7692
Phone
(850) 503-6636
NPI assigned
Jan 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-17-35543 FL Primary

Addresses

Primary practice location

6810 Fort Jackson CT
Milton, FL 32583-7692

Mailing address

3771 Stefani Rd
Cantonment, FL 32533-7795
Phone (850) 607-6910

Other names 1

  • Lydia Savannah Temple Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RBT-17-35543FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifelong Behavioral Services, LLC PastSince Mar 29, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1033626346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3771 STEFANI RD",
            "city": "CANTONMENT",
            "state": "FL",
            "postal_code": "325337795",
            "telephone_number": "850-607-6910",
            "fax_number": "850-607-6932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6810 FORT JACKSON CT",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325837692",
            "telephone_number": "850-503-6636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNELL",
        "first_name": "LYDIA",
        "middle_name": "SAVANNAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-08",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-17-35543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYDIA",
            "last_name": "TEMPLE",
            "middle_name": "SAVANNAH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Milton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.