Simmons, Blake

Simmons, Blake is an individual health care provider with primary practice located at 11011 Sheridan St Suite 304, Hollywood FL 33026-1505. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Simmons, Blake can be contacted via phone (954) 589-1038.

Contact Information

Primary practice address
11011 Sheridan St Suite 304 Hollywood FL 33026-1505
Phone: (954) 589-1038
Fax: (866) 883-9515
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1245673771
LBN Legal business name Simmons, Blake
Credentials M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2013
Last updated Apr 15th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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