Individual
AILEN JIMENEZ SANCHEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1304 SE 24TH AVE, CAPE CORAL, FL 33990-1968
(239) 406-4286
Mailing address
1304 SE 24TH AVE, CAPE CORAL, FL 33990-1968
(239) 406-4286
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-347730
FL
Other
Enumeration date
06/06/2024
Last updated
06/28/2024
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