MEDICARE: JANE ANNE SIMEI 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	1-15-19030
2	103K00000X	Behavior Analyst	2545	NC

General Provider Information

NPI Number	:	1821473034
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANE ANNE SIMEI BCBA, LBA

Provider Business Mailing Address
First Line	:	229 GOLF VISTA TRL
Second Line	:
City	:	HOLLY SPRINGS
State	:	NC
Zip	:	27540-4805
Country	:	US
Telephone Number	:	667-500-4780
Fax Number	:

Provider Business Practice Location Address
First Line	:	301 N MAIN ST STE 2434
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27101-3885
Country	:	US
Telephone Number	:	336-568-8386
Fax Number	:

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

Provider Enumeration Date	:	07/29/2015
Last Update Date	:	02/26/2025

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