Active NPI
Daniella Lucille Simmons, MA
- Behavior Analyst
- Phoenix, AZ
National Provider Identifier
1003428392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BEH-001028
- Practice address
- 5025 E Washington St Ste 212
Phoenix, AZ 85034-7439 - Phone
- (602) 773-5775
- NPI assigned
- Aug 19, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-20-112210 | AZ | |
| Behavior Analyst | 103K00000X | BEH-001028 | AZ | Primary |
Addresses
Primary practice location
5025 E Washington St Ste 212
Phoenix, AZ 85034-7439
Mailing address
5025 E Washington St Ste 212
Phoenix, AZ 85034-7439
Phone (602) 773-5775
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BEH-001028 | AZ | MD | Behavioral Analyst |
| RBT-20-112210 | AZ | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721260800000",
"number": "1003428392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5025 E WASHINGTON ST STE 212",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850347439",
"telephone_number": "602-773-5775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5025 E WASHINGTON ST STE 212",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850347439",
"telephone_number": "602-773-5775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "DANIELLA",
"middle_name": "LUCILLE",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-19",
"last_updated": "2024-07-18",
"certification_date": "2024-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "AZ",
"license": "RBT-20-112210",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "AZ",
"license": "BEH-001028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.