Taylor Dawn Simmons
Individual provider Active NPI Behavior Technician · Bloomfield, NM
NPI 1194353045 · NPPES record last updated Mar 27, 2020
Key facts
- NPI
- 1194353045
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 416 E Broadway Ave
Bloomfield, NM 87413-6240 - Phone
- (505) 635-9920
- NPI assigned
- Mar 27, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
416 E Broadway Ave
Bloomfield, NM 87413-6240
Mailing address
416 E Broadway Ave
Bloomfield, NM 87413-6240
Phone (505) 635-9920
Other providers in Bloomfield, NM
- Seth Brian Schreffler
- Serenity Path LLC
- Ashley Q Seyfarth
- Silverstone Healthcare of Bloomfield, LLC
- Janet Lynn Simmons
- Sadie L Smith-McDaniel
- Bunny Leigh Smith
- Shane Allen Spacek
- Deeann Stotz
- William Albert Stotz
All providers in Bloomfield, NM · Behavior Technician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.