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NPI Code Detail

MEDICARE: KIARA SAMANTHA JIMENEZ RBT

MEDICARE: KIARA SAMANTHA JIMENEZ RBT
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1124950746
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIARA SAMANTHA JIMENEZ RBT
Provider Business Mailing Address
First Line : 3817 FANNIN ST APT 16
Second Line :
City : HOUSTON
State : TX
Zip : 77004-3962
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1175 ADKINS RD
Second Line :
City : HOUSTON
State : TX
Zip : 77055-7413
Country : US
Telephone Number : 713-391-8688
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2026
Last Update Date : 05/29/2026

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Directions to “ KIARA SAMANTHA JIMENEZ RBT” Practice Location

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