Individual
MS. ANDREINA ANN SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
10503 METRIC DR, DALLAS, TX 75243-5514
(972) 644-2076
Mailing address
10503 METRIC DR, DALLAS, TX 75243-5514
(972) 644-2076
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-17-46717
TX
Other
Enumeration date
05/23/2018
Last updated
05/23/2018
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