MEDICARE: ALYSSA SNODGRASS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician		FL

General Provider Information

NPI Number	:	1205793734
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYSSA SNODGRASS

Provider Business Mailing Address
First Line	:	1413 COURSE VIEW DR
Second Line	:
City	:	FLEMING ISLAND
State	:	FL
Zip	:	32003-7274
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6196 LAKE GRAY BLVD STE 111
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32244-5867
Country	:	US
Telephone Number	:	904-412-8542
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/07/2026
Last Update Date	:	01/07/2026

Similar Medicare Providers

1215176946 — JENNIFER JONES LMHC, BCBA
Practice Location Address:

6196 LAKE GRAY BLVD STE 116
JACKSONVILLE, FL
32244-5867

Practice Phone: 813-417-4600
Practice Fax:

1346678117 — MATTHEW MULKEARNS
Practice Location Address:

6196 LAKE GRAY BLVD STE 116
JACKSONVILLE, FL
32244-5867

Practice Phone: 800-356-4049
Practice Fax: 941-485-0519

1356745012 — JADE S SEARCEY BCBA
Practice Location Address:

6196 LAKE GRAY BLVD STE 111
JACKSONVILLE, FL
32244-5867

Practice Phone: 904-412-8542
Practice Fax: 904-404-7451

1528417680 — KELLI AMMON BCBA
Practice Location Address:

6196 LAKE GRAY BLVD STE 117
JACKSONVILLE, FL
32244-5867

Practice Phone: 855-300-6408
Practice Fax: 904-578-5103

1801249768 — ALYSSA MORGAN SEDGHIKHOI-MILANI
Practice Location Address:

6196 LAKE GRAY BLVD STE 117
JACKSONVILLE, FL
32244-5867

Practice Phone: 904-456-1204
Practice Fax:

1134676711 — KATELYN LUKSHA
Practice Location Address:

6196 LAKE GRAY BLVD STE 116
JACKSONVILLE, FL
32244-5867

Practice Phone: 800-356-4049
Practice Fax: 941-485-0519

Directions to “ ALYSSA SNODGRASS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.