Individual
JASON NEEL SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
800 W WOODLAWN AVE, LOUISVILLE, KY 40215-2472
(502) 409-7181
(888) 450-0935
Mailing address
1601 ROSEWOOD AVE, LOUISVILLE, KY 40204-1327
(210) 865-7734
(888) 450-0935
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-02-0855
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100337780
—
KY
Enumeration date
12/02/2009
Last updated
10/28/2016
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