Individual
JUANITA JIMENEZ-VELEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
418 RANDALL ST APT 9, GREENVILLE, SC 29609-5412
(804) 528-7402
Mailing address
418 RANDALL ST APT 9, GREENVILLE, SC 29609-5412
(804) 528-7402
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-282250
SC
247200000X
Other Technician
—
—
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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