Individual
JENNY PIMIENTA GUILLERMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
454 W PIPKIN RD, LAKELAND, FL 33813-2545
(863) 619-2809
(863) 622-9590
Mailing address
454 W PIPKIN RD, LAKELAND, FL 33813-2545
(863) 619-2809
(863) 622-9590
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108392900
—
FL
Enumeration date
10/16/2020
Last updated
01/19/2024
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