Healthcare Provider Details

I. General information

NPI: 1215428552
Provider Name (Legal Business Name): SIERRA SNEED BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2018
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11501 DUBLIN BLVD
DUBLIN CA
94568-2826
US

IV. Provider business mailing address

4998 SHADOWFALLS DR
MARTINEZ CA
94553-4144
US

V. Phone/Fax

Practice location:
  • Phone: 510-679-3545
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-90782
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: