Individual
MRS. AMBER JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 PINE VIEW DR, BOERNE, TX 78006-8842
(830) 816-5510
Mailing address
101 PINE VIEW DR, BOERNE, TX 78006-8842
(830) 816-5510
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
21-170589
TX
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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