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NPI Code Detail

MEDICARE: CALLIE JO SIMPSON MS, BCBA

MEDICARE: CALLIE JO SIMPSON MS, 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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1477132470
Entity Type Code : Individual
Provider Name (Legal Business Name) : CALLIE JO SIMPSON MS, BCBA
Provider Business Mailing Address
First Line : 446 MOSS DR
Second Line :
City : LEXINGTON
State : KY
Zip : 40505-2253
Country : US
Telephone Number : 920-851-8233
Fax Number :
Provider Business Practice Location Address
First Line : 2464 FORTUNE DR STE 195
Second Line :
City : LEXINGTON
State : KY
Zip : 40509-4261
Country : US
Telephone Number : 859-899-9200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2021
Last Update Date : 05/04/2026

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