Tracy Ann Snicker
Individual provider Active NPI Behavior Technician · Bristol, IL
NPI 1366911307 · NPPES record last updated Nov 20, 2018
Key facts
- NPI
- 1366911307
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 24 Park LN
Bristol, IL 60512-9708 - Phone
- (847) 306-9843
- NPI assigned
- Nov 20, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
24 Park LN
Bristol, IL 60512-9708
Mailing address
24 Park LN
Bristol, IL 60512-9708
Phone (847) 306-9843
Other providers in Bristol, IL
- Thomas T Jacobs
- Angela Margaret Kaminski
- Dale R Metcalfe
- Mohr Chiropractic
- Charlene Rae Sineni
- Elise Marie Wagner
All providers in Bristol, IL · Behavior Technician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.