Individual
ANA YANET JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1224 SW 30TH AVE, MIAMI, FL 33135-4731
(786) 366-9742
Mailing address
1224 SW 30TH AVE, MIAMI, FL 33135-4731
(786) 366-9742
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-116616
FL
Other
Enumeration date
05/07/2020
Last updated
05/07/2020
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