Individual
NATHAN ALLEN SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
1675 SW MARLOW AVE STE 200, PORTLAND, OR 97225-5102
(866) 523-4268
Mailing address
DEPT LA 22763, PASADENA, CA 91185-2763
(866) 523-4268
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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