Individual
JORDANN JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13739 SUNGROVE VW, SAN ANTONIO, TX 78245-3229
(210) 952-9342
Mailing address
13739 SUNGROVE VW, SAN ANTONIO, TX 78245-3229
(210) 952-9342
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-62118
TX
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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