Active NPI
Faith Shelice Snider
- Behavior Technician
- Boise, ID
National Provider Identifier
1962056242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- A003909
- Practice address
- 2957 E Anemone CT
Boise, ID 83716-6905 - Phone
- (208) 401-4882
- NPI assigned
- Jul 25, 2019
- 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 Technician | 106S00000X | A003909 | ID | Primary |
Addresses
Primary practice location
2957 E Anemone CT
Boise, ID 83716-6905
Mailing address
2957 E Anemone CT
Boise, ID 83716-6905
Phone (208) 401-4882
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A0003909 | Medicaid | ID |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A003909 | ID | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564012800000",
"number": "1962056242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2957 E ANEMONE CT",
"city": "BOISE",
"state": "ID",
"postal_code": "837166905",
"telephone_number": "208-401-4882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2957 E ANEMONE CT",
"city": "BOISE",
"state": "ID",
"postal_code": "837166905",
"telephone_number": "208-401-4882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNIDER",
"first_name": "FAITH",
"middle_name": "SHELICE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-25",
"last_updated": "2019-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "ID",
"license": "A003909",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "A0003909",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.