Individual
ADDIEL JIMENEZ FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
17220 SW 92ND CT, PALMETTO BAY, FL 33157-4521
(305) 600-6751
Mailing address
17220 SW 92ND CT, PALMETTO BAY, FL 33157-4521
(305) 600-6751
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
0-21-11715
FL
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/06/2018
Last updated
03/24/2026
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