Individual provider Active NPI

Snyder Faustin, BCABA

  • Behavior Analyst
  • Merritt Island, FL
National Provider Identifier
1205079928
Registry record updated Jun 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
0-03-0961 Issued in FL
Practice address
255 Fortenberry Rd
Suite B4
Merritt Island, FL 32952-3601
Phone
(321) 863-5286
Fax
(321) 745-2720
NPI assigned
Apr 10, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 0-03-0961 FL Primary

Addresses

Primary practice location

255 Fortenberry Rd
Suite B4
Merritt Island, FL 32952-3601

Mailing address

255 Fortenberry Rd
Suite B4
Merritt Island, FL 32952-3601
Phone (321) 863-5286

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464739200000",
    "number": "1205079928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 FORTENBERRY RD",
            "address_2": "SUITE B4",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329523601",
            "telephone_number": "321-863-5286",
            "fax_number": "321-745-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 FORTENBERRY RD",
            "address_2": "SUITE B4",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329523601",
            "telephone_number": "321-863-5286",
            "fax_number": "321-745-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUSTIN",
        "first_name": "SNYDER",
        "name_prefix": "Ms.",
        "credential": "BCABA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-10",
        "last_updated": "2016-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "0-03-0961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.