Individual
CRISOL IVETTE JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3604 FAIR OAKS BLVD STE 200, SACRAMENTO, CA 95864-7256
(855) 223-7123
Mailing address
PO BOX 33568, SAN DIEGO, CA 92163-3568
(855) 223-7123
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-42521
CA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/26/2018
Last updated
06/13/2025
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