Ashley M Jimenez
Individual provider Active NPI Behavior Technician · Alta Loma, CA
NPI 1407515364 · NPPES record last updated Dec 21, 2022
Key facts
- NPI
- 1407515364
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-22-246655 (CA)
- Practice address
- 9250 Highland Ave
Alta Loma, CA 91701-4127 - Phone
- (909) 921-9873
- NPI assigned
- Dec 8, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-22-246655 | CA | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-22-246655 | CA | Yes |
Addresses
Primary practice location
9250 Highland Ave
Alta Loma, CA 91701-4127
Mailing address
16782 Von Karman Ave Ste 11
Irvine, CA 92606-2417
Phone (855) 223-7123
Other providers in Alta Loma, CA
- Andrew Stephen Hoyt
- Trevor Hurley
- Buchi Stella Imoohi
- Inland Podiatry Center Professional Corporation
- Milan Manoj Irvin
- Jessica Elizabeth Johnson
- Tamara Lee Johnstone
- Sara Jurado
- Bryan Katz
- Bryce Mark Keen
All providers in Alta Loma, CA · Behavior Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.