Individual
ALEJANDRO JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
3760 NW 157TH ST FL 33054, OPA LOCKA, FL 33054-6316
(786) 914-7440
Mailing address
3760 NW 157TH ST, OPA LOCKA, FL 33054-6316
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-421043
FL
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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