Shana Simmons
NPI #1730657040 in Saint Johns, Florida
Provider Information
- NPI Number
- 1730657040
- Entity Type
- Individual
- Name
- Shana Simmons
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Nov 5, 2018
- Last Updated
- Nov 5, 2018
Practice Location
- Address
- 153 THORNLOE DR
- City
- Saint Johns
- State
- Florida
- ZIP Code
- 32259-7258
- Phone
- (803) 414-0654
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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