Individual
CARLA JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8603 N NEW BRAUNFELS AVE, SAN ANTONIO, TX 78217-6373
(210) 415-9626
Mailing address
14562 CALAVERAS CRK, SAN ANTONIO, TX 78223-1318
(915) 234-0449
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/30/2022
Last updated
03/07/2023
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