Simon, Jennifer J

Simon, Jennifer J is an individual health care provider with primary practice located at 500 E Colonial Dr , Orlando FL 32803-4510. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Simon, Jennifer J can be contacted via phone (407) 218-4340.

Contact Information

Primary practice address
500 E Colonial Dr Orlando FL 32803-4510
Phone: (407) 218-4340
Fax: (407) 218-4303
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-13-13355 Florida

Profile Details

NPI number 1952693889
LBN Legal business name Simon, Jennifer J
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2011
Last updated Dec 4th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952693889 NPPES
Florida MEDICAID 019538500

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