Provider Demographics
NPI:1821473034
Name:SIMEI, JANE ANNE (BCBA, LBA)
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:ANNE
Last Name:SIMEI
Suffix:
Gender:
Credentials:BCBA, LBA
Other - Prefix:
Other - First Name:JANE
Other - Middle Name:
Other - Last Name:OLENEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCBA
Mailing Address - Street 1:229 GOLF VISTA TRL
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:27540-4805
Mailing Address - Country:US
Mailing Address - Phone:667-500-4780
Mailing Address - Fax:
Practice Address - Street 1:301 N MAIN ST STE 2434
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27101-3885
Practice Address - Country:US
Practice Address - Phone:336-568-8386
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-29
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-15-19030103K00000X
NC2545103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst