Provider Demographics
NPI:1023750940
Name:SNOBL, JENNA
Entity type:Individual
Prefix:
First Name:JENNA
Middle Name:
Last Name:SNOBL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9500 W BELLWOOD PL
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-1931
Mailing Address - Country:US
Mailing Address - Phone:701-317-4102
Mailing Address - Fax:
Practice Address - Street 1:9500 W BELLWOOD PL
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-1931
Practice Address - Country:US
Practice Address - Phone:701-317-4102
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-11
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician