Individual
AGUSTIN RAUL JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
370 W. SIERRA MADRE BLVD, B, SIERRA MADRE, CA 91024
(626) 355-5160
(626) 355-5173
Mailing address
370 W. SIERRA MADRE BLVD, B, SIERRA MADRE, CA 91024
(626) 355-5160
(626) 355-5173
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-14900
CA
Other
Enumeration date
01/28/2014
Last updated
01/28/2014
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