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Individual

ERYKAH NASIRA SIMO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12276 SAN JOSE BLVD STE 508, JACKSONVILLE, FL 32223-8618
(904) 886-3228
Mailing address
12276 SAN JOSE BLVD STE 508, JACKSONVILLE, FL 32223-8618
(904) 886-3228

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
106E00000X
Assistant Behavior Analyst
Primary
106S00000X
Behavior Technician
225100000X
Physical Therapist
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
12/22/2022
Last updated
12/22/2022
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