Individual
BRANDON ANTONIO JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11600 ELDRIDGE AVE, SYLMAR, CA 91342-6506
(714) 566-5188
Mailing address
911 E TUJUNGA AVE, BURBANK, CA 91501-1435
(818) 636-7824
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
172V00000X
Community Health Worker
—
—
225400000X
Rehabilitation Practitioner
—
CA
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
06/02/2020
Last updated
02/06/2026
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