Individual
ALICIA MARIE JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
730 SAND LAKE RD, ORLANDO, FL 32809-7750
(407) 942-4461
Mailing address
1244 CASCADES AVE, DAVENPORT, FL 33837-7580
(321) 337-1996
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-400858
FL
Other
Enumeration date
01/03/2025
Last updated
01/03/2025
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