Individual
NICOLE JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
3255 LANDMARK DR STE 200, NORTH CHARLESTON, SC 29418-8461
(843) 712-1225
Mailing address
206 SHAGBARK TRL APT A, NORTH CHARLESTON, SC 29418-1908
(843) 267-2248
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/28/2018
Last updated
12/28/2018
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