Active NPI
Snyder Faustin, BCABA
- Behavior Analyst
- Merritt Island, FL
National Provider Identifier
1205079928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 0-03-0961
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.