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Individual

KASANDRA ISABEL JIMENEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1925 GARDEN CT, ANTIOCH, CA 94509-2865
(925) 470-3176
Mailing address
2213 BUCHANAN RD STE 107, ANTIOCH, CA 94509-4265

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
373H00000X
Day Training/Habilitation Specialist
Primary

Other

Enumeration date
12/11/2020
Last updated
02/02/2026
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