Madison Simms I

NPI #1154857829 in Mc Lean, Virginia

Provider Information

NPI Number: 1154857829
Entity Type: Individual
Name: Madison Simms I
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: May 2, 2017
Last Updated: May 2, 2017

Practice Location

Address: 1651 OLD MEADOW RD
Address 2: SUITE 600
City: Mc Lean
State: Virginia
ZIP Code: 22102-4311
Phone: (800) 828-5659

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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