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Individual
ADDIEL JIMENEZ FERNANDEZ
Active
Individual
ADDIEL JIMENEZ FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
0-21-11715
FL
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/06/2018
Last updated
03/24/2026
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