Jaqueline Jimenez Zamora

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-15-03157 Issued in FL

Practice address

19012 SW 113TH PL
Miami, FL 33157-7562

Phone

(786) 624-7411

NPI assigned

Sep 2, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567987200000",
    "number": "1699323725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19012 SW 113TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33157",
            "telephone_number": "786-624-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19012 SW 113TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331577562",
            "telephone_number": "786-624-7411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ ZAMORA",
        "first_name": "JAQUELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-02",
        "last_updated": "2019-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-15-03157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Miami",
            "affiliation": "N",
            "address_1": "19012 SW 113th Pl",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331577562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jimenez Senior Care Inc
• Daniela Jimenez Valdes, RBT
• Josseline Nicole Jimenez Vasquez, RBT
• Rachely Jimenez Vera
• Jimenez Wellness and Rehab Center LLC
• Alenys Jimenez, COTA/L
• Alfredo Jimenez, LMT
• Alina Jimenez, BS
• Ana Yanet Jimenez
• Andy Alexander Jimenez, APRN

• Behavior Technician in Miami, FL
• Providers in Miami, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.