Individual
KENYA MONTE SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1490 UNION AVE # 157, MEMPHIS, TN 38104-3725
(185) 583-2672
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-353201
TN
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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