Provider Demographics
NPI:1093441123
Name:SNYDER, CEIARAH LYNNETTE (BEHAVIOR TECHNICIAN)
Entity Type:Individual
Prefix:
First Name:CEIARAH
Middle Name:LYNNETTE
Last Name:SNYDER
Suffix:
Gender:F
Credentials:BEHAVIOR TECHNICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1723 8TH ST
Mailing Address - Street 2:
Mailing Address - City:MARTIN
Mailing Address - State:MI
Mailing Address - Zip Code:49070-9754
Mailing Address - Country:US
Mailing Address - Phone:269-355-8625
Mailing Address - Fax:
Practice Address - Street 1:1723 8TH ST
Practice Address - Street 2:
Practice Address - City:MARTIN
Practice Address - State:MI
Practice Address - Zip Code:49070-9754
Practice Address - Country:US
Practice Address - Phone:269-355-8625
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-29
Last Update Date:2022-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician