Individual
AMPARO JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
18700 BELVIEW DR, CUTLER BAY, FL 33157-6952
(305) 505-8620
Mailing address
18700 BELVIEW DR, CUTLER BAY, FL 33157-6952
(305) 505-8620
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
18-52398
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21651300
—
FL
Enumeration date
04/12/2018
Last updated
04/12/2018
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