Simone Renee Mickens, BST
Simone Renee Mickens, BST is a Behavior Technician in Dallas, Texas. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
12959 Jupiter Rd Ste 260Dallas, TX 75238-5227
Phone: (586) 696-3500
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1134963531 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | BST |
| Sole proprietor | No |
| NPI enumerated | June 20, 2024 |
| Last updated in NPPES | June 20, 2024 |
| Certification date | June 20, 2024 |
| Mailing address | 12959 Jupiter Rd Ste 260, Dallas, TX 75238-5227 |
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