Look up the most recent NPI and PECOS records

Alexandra Schmidt

Behavior Analyst

Behavioral Health & Social Service Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Alexandra Schmidt does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 33 days ago.

Profile Details

Provider ID
1427715192
Provider Type
Individual
Full Name
Schmidt, Alexandra
Gender
Female

Sole Proprietor
Yes
Enumeration Date
11/17/2021
Last Updated
11/17/2021

Contact Information

Practice Location

329 Aycrigg Ave, Passaic, NJ 07055-3713

(973) 471-3046

Unlisted Fax

Mailing Location

43 Dowling Pkwy, Woodland Park, NJ 07424-2630

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 103K00000X Primary	Description Behavior Analyst Behavioral Health & Social Service Providers	License Unlisted Issuer

Provider Identifiers

ID	Description	Issuer
ID 1-21-55002	Description Other	Issuer BCBA CERTIFICATION NUMBER

Alexandra Schmidt

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Mckay, Michelle E

Elhalawany, Lila

Lemberger, Chana Gittel

Jasper, Christina M

Social Circle Aba

Felder, Aviva

Perez, Tara

Reichenberg, Devorah

Hanenberg, Brooke Ashley

Trusty, Stephanie