Individual
AMANDA R SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 DUNWOODY PARK STE 128, DUNWOODY, GA 30338-6723
(678) 353-6829
Mailing address
1421 HIGHLAND PARC PL SE, MARIETTA, GA 30067-2443
(470) 504-0641
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA002166
GA
106S00000X
Behavior Technician
19-97090
AL
106S00000X
Behavior Technician
Primary
RBT-21-188094
GA
Other
Enumeration date
08/27/2019
Last updated
04/10/2026
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