Individual
ASHLEY JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
4121 E VALLEY AUTO DR, MESA, AZ 85206-4631
(480) 474-4173
Mailing address
4121 E VALLEY AUTO DR, MESA, AZ 85206-4631
(480) 474-4173
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
2355S0801X
Speech-Language Assistant
Primary
SLPA13521
AZ
Other
Enumeration date
04/12/2019
Last updated
01/10/2022
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