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Heidi Jimenez

Behavior Technician in Northbrook, IL. Individual provider (NPI-1).

NPI number1265158331
StatusActive
Last updated in NPPESOct 19, 2022

Details

NPI
1265158331
Entity type
Individual (NPI-1)
Name
Heidi Jimenez
Sex
Female
Sole proprietor
No
Enumeration date
Oct 19, 2022
Certification date
Oct 19, 2022
Last updated
Oct 19, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician–ILYes

Practice location

85 Revere Dr Ste Aa
Northbrook, IL 60062-8001

Phone 844-247-7222 · Fax 215-489-8766

Mailing address

Po Box 639561
Cincinnati, OH 45263-9561

Phone 844-247-7222 · Fax 215-489-8766

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