Provider Demographics
NPI:1548802341
Name:SCHIERENBACK, MELANIE (RBT)
Entity type:Individual
Prefix:MRS
First Name:MELANIE
Middle Name:
Last Name:SCHIERENBACK
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:618 PINEBRANCH CIR
Mailing Address - Street 2:
Mailing Address - City:WINTER SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32708-5641
Mailing Address - Country:US
Mailing Address - Phone:407-761-3032
Mailing Address - Fax:
Practice Address - Street 1:618 PINEBRANCH CIR
Practice Address - Street 2:
Practice Address - City:WINTER SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32708-5641
Practice Address - Country:US
Practice Address - Phone:407-761-3032
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-13
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician