Individual
CHRISTIAN JAAZIEL JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
2807 ELM AVE, MANHATTAN BEACH, CA 90266-2427
(310) 310-2931
Mailing address
3845 MOTOR AVE APT 5, CULVER CITY, CA 90232-3129
(310) 869-3158
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-58253
CA
Other
Enumeration date
04/14/2022
Last updated
04/22/2022
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