Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | ||
N | 106S00000X | Behavior Technician |
NPI | 1003470972 |
---|---|
Provider Name | Travis Walker Snyder |
First Address | San Antonio, TX 78254-2000 |
Second Address | San Antonio, TX 78260-6674 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2019 |
Last Update Date | 30/09/2021 |