Most Relevant Information
Provider Data
| NPI Number: | 1003428392 |
| Provider Name: | DANIELLA LUCILLE SIMMONS MA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-20-112210 |
Most Important Dates
| Enumeration Date: | 08/19/2020 |
| Last Updated: | 07/18/2024 |
Provider Practice Location
5025 E WASHINGTON ST STE 212
PHOENIX
AZ
850347439
Practice Location Phone/Fax
| Phone: | 6027735775 |
| Fax: |
Provider Mailing Location
5025 E WASHINGTON ST STE 212
PHOENIX
AZ
850347439
Provider Mailing Phone/Fax
| Phone: | 6027735775 |
| Fax: |