Individual
PABLO ANTONIO JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19837 NW 65TH CT, HIALEAH, FL 33015-8114
Mailing address
19837 NW 65TH CT, HIALEAH, FL 33015-8114
(786) 493-9316
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0-19-9681
FL
106E00000X
Assistant Behavior Analyst
Primary
0-19-9681
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022904700
—
FL
Enumeration date
04/17/2018
Last updated
05/17/2026
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