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Individual
NATHAN ALLEN SIMMONS
Active
Individual
NATHAN ALLEN SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-48788
OR
247200000X
Other Technician
—
—
Other
Enumeration date
07/07/2017
Last updated
12/20/2022
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