Individual
ALEX JIMENEZ HERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16931 SW 152ND AVE, MIAMI, FL 33187-1739
(786) 262-9997
Mailing address
16931 SW 152ND AVE, MIAMI, FL 33187-1739
(786) 262-9997
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-57109
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/18/2019
Last updated
12/27/2021
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