Individual
MISS JENNY JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1898 SUNSET DR, WHITEHALL, PA 18052-4155
(610) 573-8904
Mailing address
1898 SUNSET DR, WHITEHALL, PA 18052-4155
(610) 573-8904
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH000002
PA
Other
Enumeration date
05/13/2014
Last updated
05/13/2014
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