Provider Demographics
NPI:1508347022
Name:SNYDER, ANNE THERESA (BCBA, LBA)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:THERESA
Last Name:SNYDER
Suffix:
Gender:F
Credentials:BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6816 BALMORAL CT
Mailing Address - Street 2:
Mailing Address - City:NEW MARKET
Mailing Address - State:MD
Mailing Address - Zip Code:21774-6949
Mailing Address - Country:US
Mailing Address - Phone:540-450-7756
Mailing Address - Fax:
Practice Address - Street 1:324 S JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-6286
Practice Address - Country:US
Practice Address - Phone:703-727-5174
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-23
Last Update Date:2018-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
27-2290936OtherINSURANCE