Individual
SOPHIA M JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5255 WILDWOOD AVE, DEL REY, CA 93616
(559) 943-0350
Mailing address
5255 WILDWOOD AVE, DEL REY, CA 93616
(559) 943-0350
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
—
CA
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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