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STACEY D SIMONDS BCBA

Behavioral Analyst

Brandon, Florida

Provider NPI: 1467605949

Provider Information:
 STACEY D SIMONDS BCBA
Gender: F
Sole Proprietor


Practice Location:
1463 OAKFIELD DR STE 102  BRANDON, FL 33511 US
Tel: 813-438-8902  Fax: 813-438-8903

Business Mailing Address:
33509 1463 OAKFIELD DRIVE SUITE 102 BRANDON, FL 33511 US
Tel: 813-438-8902  Fax: 813-438-8903

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103K00000X


Other Provider Identifiers:

IssuerNumberStateType
019458000FL05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







BEHAVIORAL ANALYST JOBS FL - Page 1



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