Provider Demographics
NPI:1730694407
Name:SCHOMMER, ANNA LEE (BCABA)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:LEE
Last Name:SCHOMMER
Suffix:
Gender:F
Credentials:BCABA
Other - Prefix:
Other - First Name:ANYA
Other - Middle Name:LEE
Other - Last Name:CLAY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5115 WILHELM DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80911-3146
Mailing Address - Country:US
Mailing Address - Phone:603-203-1441
Mailing Address - Fax:
Practice Address - Street 1:7220 W JEFFERSON AVE STE 202
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80235-2023
Practice Address - Country:US
Practice Address - Phone:303-225-7673
Practice Address - Fax:866-283-0595
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-04
Last Update Date:2019-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst