Individual
AMELIA JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15800 PINES BLVD STE 3311, PEMBROKE PINES, FL 33027-1212
(786) 356-8161
Mailing address
2985 W 80TH ST APT 215, HIALEAH, FL 33018-3838
(786) 426-2998
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
FL
Other
Enumeration date
10/27/2022
Last updated
10/27/2022
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