Jimenez, Jisell Maria

Jimenez, Jisell Maria is an individual health care provider with primary practice located at 162 West St Ste F , Cromwell CT 06416-4405. 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, Jisell Maria can be contacted via phone (860) 613-9930.

Contact Information

Primary practice address
162 West St Ste F Cromwell CT 06416-4405
Phone: (860) 613-9930
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X 21906528 Connecticut

Profile Details

NPI number 1861917411
LBN Legal business name Jimenez, Jisell Maria
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2017
Last updated Aug 4th, 2017 - about 9 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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