Healthcare Provider Details

I. General information

NPI: 1477797900
Provider Name (Legal Business Name): CHRISTOPHER D. SNYDER BCABA, B.A., A.C.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/28/2009
Last Update Date: 05/03/2021
Certification Date: 05/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14514 SW 297TH TER
HOMESTEAD FL
33033-3938
US

IV. Provider business mailing address

14514 SW 297TH TER
HOMESTEAD FL
33033-3938
US

V. Phone/Fax

Practice location:
  • Phone: 786-417-6996
  • Fax:
Mailing address:
  • Phone: 786-417-6996
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number0-10-3937
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-21-49228
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: