Individual
BETHANY SNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
49 SWEET GUM CIR, SANFORD, NC 27332-1346
(716) 969-0175
Mailing address
49 SWEET GUM CIR, SANFORD, NC 27332-1346
(716) 969-0175
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
P006923
NC
Other
Enumeration date
08/21/2012
Last updated
09/10/2012
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