MEDICARE: COURTNEY SIMPKINS

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	RBT-25-451989

General Provider Information

NPI Number	:	1346125515
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COURTNEY SIMPKINS

Provider Business Mailing Address
First Line	:	13 E MELBOURNE AVE STE D
Second Line	:
City	:	MELBOURNE
State	:	FL
Zip	:	32901-5976
Country	:	US
Telephone Number	:	321-677-2222
Fax Number	:	321-225-6772

Provider Business Practice Location Address
First Line	:	13 E MELBOURNE AVE STE D
Second Line	:
City	:	MELBOURNE
State	:	FL
Zip	:	32901-5976
Country	:	US
Telephone Number	:	321-677-2222
Fax Number	:	321-225-6772

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

Provider Enumeration Date	:	08/07/2025
Last Update Date	:	04/06/2026

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Directions to “ COURTNEY SIMPKINS ” Practice Location

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