Individual
TISHA SIMMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
704 GINESI DR STE 27, MORGANVILLE, NJ 07751-1249
(732) 972-8900
Mailing address
704 GINESI DR STE 27, MORGANVILLE, NJ 07751-1249
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-10340
NJ
Other
Enumeration date
10/04/2014
Last updated
10/04/2014
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