Most Relevant Information
Provider Data
| NPI Number: | 1003576786 |
| Provider Name: | TONYA SIMANO |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/22/2021 |
| Last Updated: | 12/22/2021 |
Provider Practice Location
1964 ASHLEY RIVER RD # 8090B
CHARLESTON
SC
294161400
Practice Location Phone/Fax
| Phone: | 8134557513 |
| Fax: | 8888084249 |
Provider Mailing Location
1964 ASHLEY RIVER RD # 8090B
CHARLESTON
SC
294161400
Provider Mailing Phone/Fax
| Phone: | 8134557513 |
| Fax: | 8888084249 |