Healthcare Provider Details

I. General information

NPI: 1366880650
Provider Name (Legal Business Name): ADAM SNIR
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2013
Last Update Date: 06/07/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4301 N FEDERAL HIGHWAY SUIT 2 SOUTH BUTTERYFLY EFFECTS LLC,
POMPANO BEACH FL
33064
US

IV. Provider business mailing address

3900 E 1ST ST 4
LONG BEACH CA
90803-2849
US

V. Phone/Fax

Practice location:
  • Phone: 888-880-9270
  • Fax: 954-342-0273
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: