MEDICARE: LAMAYA SIMONE WRIGHT

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		NC

General Provider Information

NPI Number	:	1740111996
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAMAYA SIMONE WRIGHT

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	:	1444 JEFFREYS RD STE 169
Second Line	:
City	:	ROCKY MOUNT
State	:	NC
Zip	:	27804-1820
Country	:	US
Telephone Number	:	185-583-2672
Fax Number	:

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

Provider Enumeration Date	:	05/27/2026
Last Update Date	:	05/27/2026

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Directions to “ LAMAYA SIMONE WRIGHT ” Practice Location

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