Healthcare Provider Details

I. General information

NPI: 1255254215
Provider Name (Legal Business Name): DANIELLE SIMMONS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1824 SAWDUST RD
SPRING TX
77380-3667
US

IV. Provider business mailing address

8787 SHENANDOAH PARK DR APT 1033
SHENANDOAH TX
77385-5059
US

V. Phone/Fax

Practice location:
  • Phone: 183-240-8015
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: