Individual
DANIELLA LUCILLE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
5025 E WASHINGTON ST STE 212, PHOENIX, AZ 85034-7439
(602) 773-5775
Mailing address
5025 E WASHINGTON ST STE 212, PHOENIX, AZ 85034-7439
(602) 773-5775
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-001028
AZ
106S00000X
Behavior Technician
RBT-20-112210
AZ
Other
Enumeration date
08/19/2020
Last updated
07/18/2024
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