Provider Demographics
NPI:1427628874
Name:SNELSON, SARAH E
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:E
Last Name:SNELSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 KLATTENHOFF LN APT 7108
Mailing Address - Street 2:
Mailing Address - City:HUTTO
Mailing Address - State:TX
Mailing Address - Zip Code:78634-4608
Mailing Address - Country:US
Mailing Address - Phone:183-235-0900
Mailing Address - Fax:
Practice Address - Street 1:150 KLATTENHOFF LN APT 7108
Practice Address - Street 2:
Practice Address - City:HUTTO
Practice Address - State:TX
Practice Address - Zip Code:78634-4608
Practice Address - Country:US
Practice Address - Phone:183-235-0900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-28
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician