Individual
JENNIFER PIMENTEL-RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1305 W MAGNOLIA AVE, FORT WORTH, TX 76104-4351
(817) 601-9736
Mailing address
1717 W PLANO PKWY, PLANO, TX 75075-8618
(214) 618-7985
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
3345
TX
Other
Enumeration date
05/20/2020
Last updated
08/18/2020
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