Provider Demographics
NPI:1831401660
Name:SIMS, BRITT WAYNE (M ED, BCBA)
Entity type:Individual
Prefix:
First Name:BRITT
Middle Name:WAYNE
Last Name:SIMS
Suffix:
Gender:M
Credentials:M ED, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6025B FOUNTAINWOOD ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78233-4417
Mailing Address - Country:US
Mailing Address - Phone:210-591-8999
Mailing Address - Fax:888-332-1417
Practice Address - Street 1:6025B FOUNTAINWOOD ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78233-4417
Practice Address - Country:US
Practice Address - Phone:210-591-8999
Practice Address - Fax:888-332-1417
Is Sole Proprietor?:No
Enumeration Date:2010-07-09
Last Update Date:2017-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0-10-3842103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst