MEDICARE: EVETTE SIMS

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	103K00000X	Behavior Analyst	1-26-89616	GA

General Provider Information

NPI Number	:	1265369482
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EVETTE SIMS

Provider Business Mailing Address
First Line	:	3557 MAIN ST
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30337-2624
Country	:	US
Telephone Number	:	404-398-2622
Fax Number	:

Provider Business Practice Location Address
First Line	:	3557 MAIN ST
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30337-2624
Country	:	US
Telephone Number	:	404-398-2622
Fax Number	:

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

Provider Enumeration Date	:	05/04/2026
Last Update Date	:	05/04/2026

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Directions to “ EVETTE SIMS ” Practice Location

Language	Start Address	Practice Location

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