Jimenez, Samantha

Jimenez, Samantha is an individual health care provider with primary practice located at 502 W Aten Rd Ste 105 , Imperial CA 92251-9423. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Jimenez, Samantha can be contacted via phone (760) 592-0088.

Contact Information

Primary practice address
502 W Aten Rd Ste 105 Imperial CA 92251-9423
Phone: (760) 592-0088
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1508590027
LBN Legal business name Jimenez, Samantha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2022
Last updated Jul 15th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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