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NPI Code Detail

MEDICARE: JAMIE SIMMONS

MEDICARE: JAMIE SIMMONS
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1669336327
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMIE SIMMONS
Provider Business Mailing Address
First Line : 235 S WATER ST
Second Line :
City : MARTINSBURG
State : WV
Zip : 25401-4241
Country : US
Telephone Number : 304-263-8954
Fax Number :
Provider Business Practice Location Address
First Line : 235 S WATER ST
Second Line :
City : MARTINSBURG
State : WV
Zip : 25401-4241
Country : US
Telephone Number : 304-263-8954
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2025
Last Update Date : 02/04/2026

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Directions to “ JAMIE SIMMONS ” Practice Location

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