Individual provider Active NPI

Priscilla Baer Schimkus, BCBA

  • Behavior Analyst
  • Melbourne, FL
National Provider Identifier
1750819520
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-20-40532
Practice address
1051 Eber Blvd Ste 108
Melbourne, FL 32904-8768
Phone
(321) 536-3532
NPI assigned
May 24, 2017
Last updated
Feb 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-20-40532 Primary
Assistant Behavior Analyst 106E00000X 0-16-7511

Addresses

Primary practice location

1051 Eber Blvd Ste 108
Melbourne, FL 32904-8768

Mailing address

24 E Avenue C
Melbourne, FL 32901-1334
Phone (321) 427-3191

Other identifiers 2

IdentifierTypeStateIssuer
1-20-40532OtherBOARD CERTIFIED BEHAVIOR ANALYST
0-16-7511OtherBOARD CERTIFIED ASSISTANT BEHAVIOR ANALYST

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

NPI Registry JSON

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

{
    "created_epoch": "1495584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1750819520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 E AVENUE C",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329011334",
            "telephone_number": "321-427-3191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 EBER BLVD STE 108",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329048768",
            "telephone_number": "321-536-3532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAER SCHIMKUS",
        "first_name": "PRISCILLA",
        "name_prefix": "Mrs.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-24",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-20-40532",
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": "0-16-7511",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD CERTIFIED BEHAVIOR ANALYST",
            "identifier": "1-20-40532",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD CERTIFIED ASSISTANT BEHAVIOR ANALYST",
            "identifier": "0-16-7511",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.