Provider Demographics
NPI:1497327894
Name:SNOW, TAYLOR P (BCBA)
Entity Type:Individual
Prefix:MRS
First Name:TAYLOR
Middle Name:P
Last Name:SNOW
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:TAYLOR
Other - Middle Name:P
Other - Last Name:DECKNICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:23 WEST ST # 3
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:NH
Mailing Address - Zip Code:03217-4219
Mailing Address - Country:US
Mailing Address - Phone:603-968-7452
Mailing Address - Fax:
Practice Address - Street 1:23 WEST ST # 3
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:NH
Practice Address - Zip Code:03217-4219
Practice Address - Country:US
Practice Address - Phone:603-968-7452
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-14
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1-21-48470103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst