Individual
RAYMOND LEE SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8603 E EASTRIDGE RD, PRESCOTT VALLEY, AZ 86314-8562
(928) 777-3280
Mailing address
7521 E CRUZ CIR, PRESCOTT VALLEY, AZ 86314-5435
(928) 925-6576
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
4033377
AZ
Other
Enumeration date
09/26/2012
Last updated
09/26/2012
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