Nicole Marie Schroeder, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

2019014046 Issued in MO

Practice address

5420 W 151RST St.
Leawood, KS 66224

Phone

(913) 219-5696

NPI assigned

Jan 8, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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": "1515369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1962919324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 NW TOWER DR",
            "city": "PLATTE WOODS",
            "state": "MO",
            "postal_code": "641514463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 W 151RST ST.",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "66224",
            "telephone_number": "913-219-5696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6500 NW Tower Dr",
            "address_purpose": "LOCATION",
            "city": "Platte Woods",
            "state": "MO",
            "postal_code": "641514463",
            "country_code": "US",
            "telephone_number": "816-368-8120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-08",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": "2019014046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "BACB348220",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Schafer
• Jacqueline A Schleicher, LMSW
• Adam Schnacker, DPT
• Eric A Schoenberg, M.D.
• Lynne Marie Schopper, DDS
• Mary Patricia Schultz, NP
• Kathleen Schwartz
• Shayla Schweitzer
• Andrew R Scott, MD
• Cheryl Lynn Seacat, APRN

• Behavior Analyst in Leawood, KS
• Providers in Leawood, KS by specialty
• Behavior Analyst in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.