Individual
ELIZABETH JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 S BROADWAY STE 310, WALNUT CREEK, CA 94596-5218
(888) 531-8385
Mailing address
11 ROCKRIDGE AVE, DALY CITY, CA 94015-3916
(559) 361-7445
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
BACB1262534
CA
Other
Enumeration date
04/10/2025
Last updated
04/10/2025
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