Individual
MS. VIRGINIA JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1970 W 7800 S, WEST JORDAN, UT 84088-4025
(801) 506-6695
Mailing address
1970 W 7800 S, WEST JORDAN, UT 84088-4025
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
311246-2506
UT
Other
Enumeration date
08/20/2015
Last updated
07/03/2025
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