MEDICARE: SIMA KAHOUSSI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1568312395
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SIMA KAHOUSSI

Provider Business Mailing Address
First Line	:	2102 ABBY KNOLL DR
Second Line	:
City	:	APEX
State	:	NC
Zip	:	27502-4306
Country	:	US
Telephone Number	:	984-220-4517
Fax Number	:

Provider Business Practice Location Address
First Line	:	2102 ABBY KNOLL DR
Second Line	:
City	:	APEX
State	:	NC
Zip	:	27502-4306
Country	:	US
Telephone Number	:	855-832-6727
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2026
Last Update Date	:	01/31/2026

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Directions to “ SIMA KAHOUSSI ” Practice Location

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