Individual
ANTONIO JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA, RBT
Contact information
Practice address
6330 MCLEOD DR STE 4, LAS VEGAS, NV 89120-4431
(310) 406-1500
Mailing address
6330 MCLEOD DR STE 4, LAS VEGAS, NV 89120-4431
(310) 406-1500
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT2763
NV
Other
Enumeration date
07/21/2022
Last updated
07/21/2022
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