MEDICARE: DR. DEBRA SIMPSON BCBA

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	1-23-67927	FL

General Provider Information

NPI Number	:	1396631818
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEBRA SIMPSON BCBA

Provider Business Mailing Address
First Line	:	206 SKIDMORE RD
Second Line	:
City	:	NORTH BABYLON
State	:	NY
Zip	:	11703-2821
Country	:	US
Telephone Number	:	631-629-9890
Fax Number	:

Provider Business Practice Location Address
First Line	:	31842 ANCHOR POINT DR
Second Line	:
City	:	WESLEY CHAPEL
State	:	FL
Zip	:	33545-5404
Country	:	US
Telephone Number	:	812-514-7177
Fax Number	:

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

Provider Enumeration Date	:	06/13/2025
Last Update Date	:	06/13/2025

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