Individual
TIANA SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9740 S TACOMA WAY, TACOMA, WA 98499-4456
(253) 682-0353
(253) 682-0301
Mailing address
600 NE FLAGSTONE LN, BREMERTON, WA 98310-2900
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/17/2015
Last updated
03/17/2015
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