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NPI Code Detail

MEDICARE: MRS. TRENESHA ALEXANDRIA SIMPKINS BHRS

MEDICARE: MRS. TRENESHA ALEXANDRIA SIMPKINS BHRS
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 : 1891070975
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TRENESHA ALEXANDRIA SIMPKINS BHRS
Provider Business Mailing Address
First Line : 4104 APPLEGATE DR
Second Line :
City : MOORE
State : OK
Zip : 73160-1283
Country : US
Telephone Number : 405-227-5005
Fax Number :
Provider Business Practice Location Address
First Line : 9700 S PENNSYLVANIA AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73159-6917
Country : US
Telephone Number : 405-735-9732
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2011
Last Update Date : 10/20/2011

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