Individual
KATHERINE JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1511 HERITAGE LN STE 1, FLORENCE, SC 29505-3141
(843) 536-8674
(615) 815-1946
Mailing address
1321 MURFREESBORO PIKE STE 702, NASHVILLE, TN 37217-2679
(615) 695-2277
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-55623
SC
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/11/2019
Last updated
01/28/2022
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