Provider Demographics
NPI:1649880824
Name:SNEED, BIANCA (CBT)
Entity type:Individual
Prefix:
First Name:BIANCA
Middle Name:
Last Name:SNEED
Suffix:
Gender:F
Credentials:CBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1741 VILLAGE SQUARE CT
Mailing Address - Street 2:
Mailing Address - City:SEVERN
Mailing Address - State:MD
Mailing Address - Zip Code:21144-1722
Mailing Address - Country:US
Mailing Address - Phone:301-674-7983
Mailing Address - Fax:
Practice Address - Street 1:1741 VILLAGE SQUARE CT
Practice Address - Street 2:
Practice Address - City:SEVERN
Practice Address - State:MD
Practice Address - Zip Code:21144-1722
Practice Address - Country:US
Practice Address - Phone:301-674-7983
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-03
Last Update Date:2020-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No172V00000XOther Service ProvidersCommunity Health Worker