Active NPI
Brooklynn Simmons, BCABA
- Behavior Analyst
- Lakeland, FL
National Provider Identifier
1437442977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 0-10-3776
- Practice address
- 5302 S Florida Ave
Suite 206
Lakeland, FL 33813-4922 - Phone
- (863) 937-8067
- NPI assigned
- May 17, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 0-10-3776 | FL | Primary |
Addresses
Primary practice location
5302 S Florida Ave
Suite 206
Lakeland, FL 33813-4922
Mailing address
323 Heatherpointe Dr
Lakeland, FL 33809
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305590400000",
"number": "1437442977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "323 HEATHERPOINTE DR",
"city": "LAKELAND",
"state": "FL",
"postal_code": "33809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5302 S FLORIDA AVE",
"address_2": "SUITE 206",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338134922",
"telephone_number": "863-937-8067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "BROOKLYNN",
"credential": "BCABA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-17",
"last_updated": "2011-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "0-10-3776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.