Provider Demographics
NPI:1811701808
Name:SNYDER, ALEXXIS RYAN (CNA)
Entity type:Individual
Prefix:
First Name:ALEXXIS
Middle Name:RYAN
Last Name:SNYDER
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1220 N 700 E
Mailing Address - Street 2:
Mailing Address - City:KNOX
Mailing Address - State:IN
Mailing Address - Zip Code:46534-9652
Mailing Address - Country:US
Mailing Address - Phone:574-540-9582
Mailing Address - Fax:
Practice Address - Street 1:203 GREENHILL ADDITION RD
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:IN
Practice Address - Zip Code:47421-8479
Practice Address - Country:US
Practice Address - Phone:574-540-9582
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician