Individual
KIMBERLY KAY SNYDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
828 WAPPOO RD, CHARLESTON, SC 29407-5865
(717) 712-3573
Mailing address
2115 FIFE LN, CHARLESTON, SC 29414-5931
(717) 712-3573
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-22575
SC
Other
Enumeration date
05/17/2017
Last updated
10/26/2020
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