Provider Demographics
NPI:1306303219
Name:SCHULER, BREANNA MICHELLE
Entity type:Individual
Prefix:
First Name:BREANNA
Middle Name:MICHELLE
Last Name:SCHULER
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 1:66208 GRASSLANDS LN
Mailing Address - Street 2:
Mailing Address - City:GOSHEN
Mailing Address - State:IN
Mailing Address - Zip Code:46526-7323
Mailing Address - Country:US
Mailing Address - Phone:574-349-4796
Mailing Address - Fax:
Practice Address - Street 1:66208 GRASSLANDS LN
Practice Address - Street 2:
Practice Address - City:GOSHEN
Practice Address - State:IN
Practice Address - Zip Code:46526-7323
Practice Address - Country:US
Practice Address - Phone:574-349-4796
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-27
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
0-20-11098106E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst