Healthcare Provider Details

I. General information

NPI: 1508347022
Provider Name (Legal Business Name): ANNE THERESA SNYDER BCBA, LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/23/2018
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 PERRY ST
NEWNAN GA
30263-1918
US

IV. Provider business mailing address

132 FOXCREEK BLVD
BRUNSWICK GA
31523-8222
US

V. Phone/Fax

Practice location:
  • Phone: 317-936-1241
  • Fax:
Mailing address:
  • Phone: 540-450-7756
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: