Individual
MISS MICHELLE B SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2940 N CHURCH ST STE 204, LAYTON, UT 84040-6616
(801) 823-1816
Mailing address
6647 W MERLOT WAY, WEST JORDAN, UT 84081-5066
(801) 918-7239
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-68851
UT
Other
Enumeration date
03/29/2019
Last updated
10/23/2023
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