Raven Jimenez

NPI #1003635442 in Richmond Hill, New York

Provider Information

NPI Number: 1003635442
Entity Type: Individual
Name: Raven Jimenez
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Oct 3, 2024
Last Updated: Oct 3, 2024

Practice Location

Address: 10815 JAMAICA AVE
City: Richmond Hill
State: New York
ZIP Code: 11418-2243
Phone: (917) 864-7116

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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