Imandra Jimenez, RBT
Behavior Technician in Miami, FL. Individual provider (NPI-1).
NPI number1154986537
StatusActive
Last updated in NPPESMay 1, 2019
Details
- NPI
- 1154986537
- Entity type
- Individual (NPI-1)
- Name
- Imandra Jimenez
- Credential
- RBT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 1, 2019
- Last updated
- May 1, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-19-83714 | FL | Yes |
Practice location
9290 Hammocks Blvd Ste 401Miami, FL 33196-1347
Phone 786-558-5694 · Fax 786-913-7034
Mailing address
5851 Sw 148th AveMiami, FL 33193-2452
Phone 305-510-2275
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