Tabatha Simmons

NPI #1982428124 in Fairview, Oregon

Provider Information

NPI Number: 1982428124
Entity Type: Individual
Name: Tabatha Simmons
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 13, 2024
Last Updated: Nov 16, 2024

Practice Location

Address: 22100 NE HALSEY ST APT B212
City: Fairview
State: Oregon
ZIP Code: 97024-9500
Phone: (503) 484-4220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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