Provider Demographics
NPI:1609566132
Name:SCHNAIDER, FANNY
Entity type:Individual
Prefix:
First Name:FANNY
Middle Name:
Last Name:SCHNAIDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7509 CUTLASS AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH BAY VILLAGE
Mailing Address - State:FL
Mailing Address - Zip Code:33141-4113
Mailing Address - Country:US
Mailing Address - Phone:305-979-3086
Mailing Address - Fax:
Practice Address - Street 1:7509 CUTLASS AVE
Practice Address - Street 2:
Practice Address - City:NORTH BAY VILLAGE
Practice Address - State:FL
Practice Address - Zip Code:33141-4113
Practice Address - Country:US
Practice Address - Phone:305-979-3086
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-09
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician