MEDICARE: KAYLA MARGARET SNEDECOR BCBA

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	103K00000X	Behavior Analyst	1-21-50388	NC

General Provider Information

NPI Number	:	1568024594
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAYLA MARGARET SNEDECOR BCBA

Provider Business Mailing Address
First Line	:	3500 DEPAUW BLVD STE 3070
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46268-6135
Country	:	US
Telephone Number	:	855-324-0885
Fax Number	:	317-520-8200

Provider Business Practice Location Address
First Line	:	130 CHARLOIS BLVD
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27103-1522
Country	:	US
Telephone Number	:	336-777-7239
Fax Number	:	317-520-8200

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

Provider Enumeration Date	:	06/29/2019
Last Update Date	:	04/20/2026

Similar Medicare Providers

1669338976 — SARAH JO BARE CNM
Practice Location Address:

114 CHARLOIS BLVD
WINSTON SALEM, NC
27103-1522

Practice Phone: 336-765-5470
Practice Fax:

1477549707 — ROBERT JAMES EVANS III MD
Practice Location Address:

140 CHARLOIS BLVD
WINSTON SALEM, NC
27103-1522

Practice Phone: 336-716-2255
Practice Fax: 336-716-9042

1528054673 — RONALD LEE DAVIS III MD
Practice Location Address:

140 CHARLOIS BLVD
WINSTON SALEM, NC
27103-1522

Practice Phone: 336-716-4131
Practice Fax: 336-713-0328

1235111832 — ANTHONY JOHN ATALA MD
Practice Location Address:

140 CHARLOIS BLVD
WINSTON SALEM, NC
27103-1522

Practice Phone: 336-716-4131
Practice Fax: 336-713-0328

1144202755 — STEVE JAMES HODGES MD
Practice Location Address:

140 CHARLOIS BLVD
WINSTON SALEM, NC
27103-1522

Practice Phone: 336-716-2255
Practice Fax: 336-716-9042

1073593943 — MR. RONALD BERNARD SHEALY MD
Practice Location Address:

110 CHARLOIS BLVD
WINSTON SALEM, NC
27103-1522

Practice Phone: 336-768-3361
Practice Fax: 336-768-4131

Directions to “ KAYLA MARGARET SNEDECOR BCBA” 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.