Michelle Schultz, RBT-17-42435

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

17-42435 Issued in IL

Practice address

4218 Blanchan Ave
Brookfield, IL 60513-1804

Phone

(630) 567-7938

NPI assigned

May 14, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526256000000",
    "number": "1144710260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4218 BLANCHAN AVE",
            "city": "BROOKFIELD",
            "state": "IL",
            "postal_code": "605131804",
            "telephone_number": "630-567-7938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4218 BLANCHAN AVE",
            "city": "BROOKFIELD",
            "state": "IL",
            "postal_code": "605131804",
            "telephone_number": "630-567-7938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "MICHELLE",
        "credential": "RBT-17-42435",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-14",
        "last_updated": "2018-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IL",
            "license": "17-42435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yesenia Salto
• Kathleen Marie Schafer, DPM
• School District 95
• Rachel Antonette Schrier, RPH
• Nancy Lynn Schuller, APN
• Jill Anne Setterlun, O.D.
• Antoinette Mariel Severino, DDS
• Kristina Simak, MA, CCC-SLP/L
• Elizabeth Smart, MA CCC SLP
• Smile Center of Brookfield

• Behavior Technician in Brookfield, IL
• Providers in Brookfield, IL by specialty
• Behavior Technician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; 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.