Individual
JASMYN JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2631 MERRICK RD, BELLMORE, NY 11710-5730
(516) 535-9510
Mailing address
185 CONKLIN AVE, WYANDANCH, NY 11798-1706
(631) 334-2348
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NY
Other
Enumeration date
10/29/2021
Last updated
10/29/2021
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