Provider Demographics
NPI:1528535861
Name:SCHMIT, ANTHONY S (BCBA 1-25-80253)
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:S
Last Name:SCHMIT
Suffix:
Gender:M
Credentials:BCBA 1-25-80253
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3303 WOODLAND CIR N
Mailing Address - Street 2:
Mailing Address - City:ISLAND LAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60042-9490
Mailing Address - Country:US
Mailing Address - Phone:847-385-1640
Mailing Address - Fax:
Practice Address - Street 1:887 E WILMETTE RD
Practice Address - Street 2:
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60074-6495
Practice Address - Country:US
Practice Address - Phone:847-376-9191
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-24
Last Update Date:2025-04-08
Deactivation Date:2025-03-28
Deactivation Code:
Reactivation Date:2025-04-08
Provider Licenses
StateLicense IDTaxonomies
ILRBT-18-68711106S00000X
IL1-25-80253103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician