Blake Simmons M.S.

NPI 1245673771 - Behavioral Analyst - 103K00000X

NPI Details
NPI 1245673771
Gender Male
Enumeration Date 04/15/2013
Last Updated 04/15/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
11011 SHERIDAN ST
SUITE 304
HOLLYWOOD FL, 33026-1505, US
Phone (954) 589-1038
Fax (866) 883-9515
Business Location
11011 SHERIDAN ST
SUITE 304
HOLLYWOOD FL, 33026-1505, US
Phone (954) 589-1038
Fax (866) 883-9515
Toxanomy
Taxonomy Code 103K00000X
License State
License Number
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According to our database, Blake Simmons M.S. NPI is 1245673771, taxonomy code is 103K00000X Blake Simmons M.S. physically located at 11011 Sheridan St, Hollywood FL, 33026-1505. NPI Number Blake Simmons M.S. has the Individual type.

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1245673771 NPI number is provided on an as is basis without warranty of any kind. 1245673771 is maintained by the National Plan & Provider Enumeration System. The contents of Blake Simmons M.S. are for informational purposes only.