Individual
BRIANNA SIMMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2218 S 13TH AVE, BROADVIEW, IL 60155-4040
(773) 756-7397
Mailing address
2218 S 13TH AVE, BROADVIEW, IL 60155-4040
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/10/2021
Last updated
05/10/2021
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