Active NPI
Pablo Antonio Jimenez
- Assistant Behavior Analyst
- Hialeah, FL
National Provider Identifier
1124515960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- License
- 0-19-9681
- Practice address
- 19837 NW 65TH CT
Hialeah, FL 33015-8114 - NPI assigned
- Apr 17, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | 0-19-9681 | FL | Primary |
Addresses
Primary practice location
19837 NW 65TH CT
Hialeah, FL 33015-8114
Mailing address
19837 NW 65TH CT
Hialeah, FL 33015-8114
Phone (786) 493-9316
Other practice location 1
19837 NW 65th Ct
Hialeah, FL 33015-8114
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022904700 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778976000000",
"number": "1124515960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19837 NW 65TH CT",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330158114",
"telephone_number": "786-493-9316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19837 NW 65TH CT",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330158114"
}
],
"practiceLocations": [
{
"address_1": "19837 NW 65th Ct",
"address_purpose": "LOCATION",
"city": "Hialeah",
"state": "FL",
"postal_code": "330158114",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JIMENEZ",
"first_name": "PABLO",
"middle_name": "ANTONIO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-17",
"last_updated": "2026-05-17",
"certification_date": "2026-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "FL",
"license": "0-19-9681",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022904700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.