Most Relevant Information
Provider Data
| NPI Number: | 1003371998 |
| Provider Name: | STEPHANIE JIMENEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/05/2019 |
| Last Updated: | 02/05/2019 |
Provider Practice Location
3610 SNELL AVE
SAN JOSE
CA
951361305
Practice Location Phone/Fax
| Phone: | 4086185265 |
| Fax: |
Provider Mailing Location
535 S MARKET ST APT 402
SAN JOSE
CA
951132842
Provider Mailing Phone/Fax
| Phone: | 4243679717 |
| Fax: |