Cathleen Snyder

Individual provider Active NPI Behavior Technician · Tijeras, NM

NPI 1992234900 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1992234900
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
311 Forest Road 462
Tijeras, NM 87059-6319
Phone
(443) 523-4728
NPI assigned
Jun 5, 2017
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)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

311 Forest Road 462
Tijeras, NM 87059-6319

Mailing address

311 Forest Road 462
Tijeras, NM 87059-6319
Phone (443) 523-4728

Other providers in Tijeras, NM

All providers in Tijeras, NM · Behavior Technician in New Mexico

Sources for this page

Verify at the official NPI Registry.