Individual
ANDREW EDWARD JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6436 S US HIGHWAY 85-87 STE U, FOUNTAIN, CO 80817-1007
(719) 822-0460
Mailing address
6876 VOLGA DR, COLORADO SPRINGS, CO 80925-9661
(719) 597-0822
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
171027866
CO
Other
Enumeration date
01/06/2026
Last updated
01/06/2026
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