MEDICARE: KIMBERLY ANN JAIME

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician	25-417152	TX

General Provider Information

NPI Number	:	1750236956
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY ANN JAIME

Provider Business Mailing Address
First Line	:	313 LOS NIETOS CT
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79932-2017
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	313 LOS NIETOS CT
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79932-2017
Country	:	US
Telephone Number	:	915-731-5196
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2026
Last Update Date	:	03/03/2026

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Directions to “ KIMBERLY ANN JAIME ” Practice Location

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