Individual
MISS EMILY ROSE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT, BHT
Contact information
Practice address
2451 E BASELINE RD STE 420, GILBERT, AZ 85234-2472
(480) 474-4173
Mailing address
150 E WARNER RD APT 64, GILBERT, AZ 85296-2301
(480) 648-6629
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-178474
AZ
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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