Vivian Riddell Snyder, BCBA
Individual provider Active NPI Behavior Analyst · White Bluff, TN
NPI 1811731995 · NPPES record last updated Jun 24, 2024
Key facts
- NPI
- 1811731995
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 12473688 (TN)
- Practice address
- 2286 Jones Creek Rd
White Bluff, TN 37187-4213 - Phone
- (615) 422-7233
- NPI assigned
- Jun 24, 2024
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12473688 | TN | MD | Behavioral Analyst |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 12473688 | TN | Yes |
Addresses
Primary practice location
2286 Jones Creek Rd
White Bluff, TN 37187-4213
Mailing address
2286 Jones Creek Rd
White Bluff, TN 37187-4213
Phone (615) 422-7233
Other providers in White Bluff, TN
- Rachel Nicole Sadler
- Sarah Frances Shannon
- Edwin Simon
- Cassie T Smith
- Megan Snider
- State of Tennessee
- Amy Doyle Sullivan
- The Brook Center: Therapy Solutions, LLC
- Millie Tremlett
- Brandon Vetter
All providers in White Bluff, TN · Behavior Analyst in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2024. 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.