Healthcare Provider Details

I. General information

NPI: 1811651722
Provider Name (Legal Business Name): HANNAH SNYDER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2021
Last Update Date: 10/26/2021
Certification Date: 10/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6409 E MILL PLAIN BLVD
VANCOUVER WA
98661-7454
US

IV. Provider business mailing address

17708 NE 130TH AVE
BATTLE GROUND WA
98604-7396
US

V. Phone/Fax

Practice location:
  • Phone: 360-518-6249
  • Fax:
Mailing address:
  • Phone: 360-440-7233
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: