Individual
NICOLE ANN JIMENEZ LEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9314 RYDER DR, SAN ANTONIO, TX 78254
(210) 447-0039
Mailing address
9314 RYDER DR, SAN ANTONIO, TX 78254-2000
(210) 447-0039
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
09/28/2016
Last updated
02/05/2025
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