Andrea Snow

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

773 Bandit TRL
Keller, TX 76248-0111

Phone

(817) 442-9022

NPI assigned

Mar 9, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pine Cone Therapies LLC

  • Behavior Analyst
  • Southlake, TX
  • NPI 1013143767
  NPD (past)

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1407441637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W PATERSON ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490071710",
            "telephone_number": "269-250-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "773 BANDIT TRL",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762480111",
            "telephone_number": "817-442-9022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1070 W Houghton Lake Dr",
            "address_purpose": "LOCATION",
            "city": "Prudenville",
            "state": "MI",
            "postal_code": "486519613",
            "country_code": "US",
            "telephone_number": "989-202-4900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6296 Village Square Drive Suite 2",
            "address_purpose": "LOCATION",
            "city": "Bridgeport",
            "state": "MI",
            "postal_code": "48722",
            "country_code": "US",
            "telephone_number": "989-401-1239",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1524 E Broadway St",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "MI",
            "postal_code": "488582933",
            "country_code": "US",
            "telephone_number": "989-854-8334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNOW",
        "first_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-09",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Harrison Smith, D.C.
• Kimberly Jill Smith, LPC
• Samantha Smith
• Shandy Renee Smith, MS CCC-SLP
• Tiffaney Smith, LPC
• Zaynab Ann Sohail
• Jenna Solomon, PA-C
• Meagan Patricia Soltwisch, DNP, FNP-C
• Cara Sloane Souther, RD
• Southlake Orthopedics & Sports Medicine, PLLC

• Behavior Technician in Keller, TX
• Providers in Keller, TX by specialty
• Behavior Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.