Chantal Jenema Alleyne-Simmons

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

17435 US Highway 441 Ste 101
Mount Dora, FL 32757-6750

Phone

(352) 434-0455

NPI assigned

Jan 5, 2018

Last updated

Jan 5, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Florida Autism Center

  • Behavior Analyst
  • Mount Dora, FL
  • NPI 1609309384
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515110400000",
    "number": "1053828533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 MIDDLE ST UNIT 1201",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17435 US HIGHWAY 441 STE 101",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327576750",
            "telephone_number": "352-434-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEYNE-SIMMONS",
        "first_name": "CHANTAL",
        "middle_name": "JENEMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-05",
        "last_updated": "2018-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alina Community Center at Mount Dora LLC
• Alina Community Center at Mount Dora LLC
• All About Hearing LLC (Lake Audiology & Hearing Center)
• Julie L Allen, LMT
• Patricia Allen
• Jerry Martin Alstott, MD
• Jasmine Nicole Ambrosio, DC
• Rhonda Anderson, LPN
• Anesthesia and Pain Consultants of Central Florida, LLC
• Angels Around You Home Care LLC

• Behavior Technician in Mount Dora, FL
• Providers in Mount Dora, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.