John Snider

Key facts

NPI

1972235893

Entity type

Individual (NPI type 1)

Primary specialty

Behavior Technician 106S00000X

Practice address

1330 S Potomac St
Suite 112
Aurora, CO 80012-4527

Phone

(303) 989-8169

NPI assigned

Jun 29, 2022

Sex

Male

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 29, 2022.

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1972235893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 S POTOMAC ST",
            "address_2": "SUITE 112",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 S POTOMAC ST",
            "address_2": "SUITE 112",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124527",
            "telephone_number": "303-989-8169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNIDER",
        "first_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

• Abby Snavely, MD
• Traci Snedden, PNP
• Kathleen Marina Snell, LPC
• Lillibeth Carole Snellman
• Carol Wente Snider, AGACNP-BC
• Warren Kirk Snider, M.D.
• Kaylie Alred Sniff, PA-C
• Kirsten Snook, MD
• Jalen Snow
• Abigail Marie Snyder, MD, MS

All providers in Aurora, CO · Behavior Technician in Colorado