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Individual

BLAKE SIMMONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S.

Contact information

Practice address
11011 SHERIDAN ST, SUITE 304, HOLLYWOOD, FL 33026-1505
(954) 589-1038
(866) 883-9515
Mailing address
11011 SHERIDAN ST, SUITE 304, HOLLYWOOD, FL 33026-1505
(954) 589-1038
(866) 883-9515

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
04/15/2013
Last updated
04/15/2013
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