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NPI Code Detail

MEDICARE: SIMONE STEVENS BCABA

MEDICARE: SIMONE STEVENS BCABA
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
1106E00000XAssistant Behavior Analyst

General Provider Information

NPI Number : 1134586894
Entity Type Code : Individual
Provider Name (Legal Business Name) : SIMONE STEVENS BCABA
Provider Business Mailing Address
First Line : 5601 W SLAUSON AVE STE 168
Second Line :
City : CULVER CITY
State : CA
Zip : 90230-6584
Country : US
Telephone Number : 310-410-4450
Fax Number : 310-410-4455
Provider Business Practice Location Address
First Line : 5601 W SLAUSON AVE STE 168
Second Line :
City : CULVER CITY
State : CA
Zip : 90230-6584
Country : US
Telephone Number : 310-410-4450
Fax Number : 310-410-4455
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2016
Last Update Date : 11/04/2025

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