Jane Tullos Simms, RBT

Individual provider Active NPI Behavior Technician · Edmond, OK

NPI 1346904794 · NPPES record last updated Sep 11, 2023

Key facts

NPI
1346904794
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-21-193200 (OK)
Practice address
1900 E 15TH St Ste 800B
Edmond, OK 73013-6682
Phone
(405) 455-6868
Fax
(405) 562-3444
NPI assigned
Oct 22, 2021
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

State licenses

LicenseStateTypeSpecialty
RBT-21-193200OKMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-21-193200 OK Yes
Behavior Technician 106S00000X

Addresses

Primary practice location

1900 E 15TH St Ste 800B
Edmond, OK 73013-6682

Mailing address

1900 E 15TH St Ste 800B
Edmond, OK 73013-6682
Phone (405) 455-6868

Other providers in Edmond, OK

All providers in Edmond, OK · Behavior Technician in Oklahoma

Sources for this page

Verify at the official NPI Registry.