Individual
MS. NATALIE SHERESE SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
944 E JOHNSON ST APT 207B, PHILADELPHIA, PA 19138-3207
(267) 259-2576
Mailing address
944 E JOHNSON ST APT 207B, PHILADELPHIA, PA 19138-3207
(267) 259-2476
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH004811
PA
Other
Enumeration date
02/19/2020
Last updated
02/19/2020
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