Jacqueline Lee Simmons

NPI #1932857794 in Conyers, Georgia

Provider Information

NPI Number: 1932857794
Entity Type: Individual
Name: Jacqueline Lee Simmons
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 11, 2022
Last Updated: Mar 11, 2022

Practice Location

Address: 1517 CHERRY HILL RD SW
City: Conyers
State: Georgia
ZIP Code: 30094-6812
Phone: (470) 709-8742

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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