Carly Marie Schneider Vondrak

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

6140 W Executive Dr Ste B
Mequon, WI 53092-4499

Phone

(877) 439-5003

NPI assigned

Sep 18, 2023

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

Other names 1

• Ms. Carly Marie Schneider Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1780462234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6140 W EXECUTIVE DR STE B",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530924499",
            "telephone_number": "877-439-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6140 W EXECUTIVE DR STE B",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530924499",
            "telephone_number": "877-439-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER VONDRAK",
        "first_name": "CARLY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLY",
            "last_name": "SCHNEIDER",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jacob A Schlindwein, D.D.S.
• Jennifer L Schmidt, MSN, NP-C-APNP
• Richard N Schmidt, M.D.
• Emmalee Schmutzler
• Ava J Schnappup
• Patrice Marie Schnell, RN, BSN, CDE
• Henry J Schnitzler Jr., MD
• Erica Ann Schoenike, APNP
• Megan R. Schrimpf, M.S. CCC-A (AUDIOLOG
• Alexandra Schroeder, DPT

• Behavior Technician in Mequon, WI
• Providers in Mequon, WI by specialty
• Behavior Technician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.