Healthcare Provider Details

I. General information

NPI: 1992403158
Provider Name (Legal Business Name): CLAUDIA JIMENEZ BCBA, NJ-LP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CLAUDIA ESTHER OGANDO PEREZ

II. Dates (important events)

Enumeration Date: 02/17/2023
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 HALF MILE ROAD SUITE 200
RED BANK NJ
07701-6749
US

IV. Provider business mailing address

501 FERNWOOD TER
LINDEN NJ
07036-5816
US

V. Phone/Fax

Practice location:
  • Phone: 855-832-6727
  • Fax: 772-675-9100
Mailing address:
  • Phone: 862-206-3757
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: