Cosme Jaimes
Behavior Analyst in Salem, OR. Individual provider (NPI-1).
NPI number1164063780
StatusActive
Last updated in NPPESOct 4, 2019
Details
- NPI
- 1164063780
- Entity type
- Individual (NPI-1)
- Name
- Cosme Jaimes
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 4, 2019
- Last updated
- Oct 4, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
3494 Liberty Rd SSalem, OR 97302-4607
Phone 971-304-0660
Mailing address
5858 Poppy Hills St SeSalem, OR 97306-9011
Phone 626-230-8110
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