MEDICARE: KATIE HARRIS SIMMS MA, BCBA, LBA

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	152.001554	IL

General Provider Information

NPI Number	:	1487298857
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATIE HARRIS SIMMS MA, BCBA, LBA

Provider Business Mailing Address
First Line	:	7108 S KANNER HWY
Second Line	:
City	:	STUART
State	:	FL
Zip	:	34997-7462
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	332 S MICHIGAN AVE
Second Line	:	STE 900
City	:	CHICAGO
State	:	IL
Zip	:	60604-4393
Country	:	US
Telephone Number	:	985-438-0100
Fax Number	:

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

Provider Enumeration Date	:	10/29/2019
Last Update Date	:	01/28/2026

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