Madison Rayne Jimenez

NPI #1033970017 in Joint Base Lewis Mcchord, Washington

Provider Information

NPI Number: 1033970017
Entity Type: Individual
Name: Madison Rayne Jimenez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 17, 2024
Last Updated: Jan 17, 2024

Practice Location

Address: 2546 S 11TH ST APT E
City: Joint Base Lewis Mcchord
State: Washington
ZIP Code: 98433-1804
Phone: (714) 519-1799

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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