Individual
ALEN KEN JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16400 VENTURA BLVD STE 327, ENCINO, CA 91436-2190
(747) 221-4222
Mailing address
16400 VENTURA BLVD STE 327, ENCINO, CA 91436-2190
(747) 221-4222
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/25/2025
Last updated
06/25/2025
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