Taylor Dawn Simmons
Behavior Technician in Bloomfield, NM. Individual provider (NPI-1).
NPI number1194353045
StatusActive
Last updated in NPPESMar 27, 2020
Details
- NPI
- 1194353045
- Entity type
- Individual (NPI-1)
- Name
- Taylor Dawn Simmons
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 27, 2020
- Certification date
- Mar 27, 2020
- Last updated
- Mar 27, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
416 E Broadway AveBloomfield, NM 87413-6240
Phone 505-635-9920
Mailing address
416 E Broadway AveBloomfield, NM 87413-6240
Phone 505-635-9920
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Other Behavior Technician providers in Bloomfield, NM
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All 15 Behavior Technician providers in Bloomfield · All 137 providers in Bloomfield
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