Taylor Dawn Simmons

NPI #1194353045 in Bloomfield, New Mexico

Provider Information

NPI Number: 1194353045
Entity Type: Individual
Name: Taylor Dawn Simmons
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 27, 2020
Last Updated: Mar 27, 2020

Practice Location

Address: 416 E BROADWAY AVE
City: Bloomfield
State: New Mexico
ZIP Code: 87413-6240
Phone: (505) 635-9920

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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