MEDICARE: JENNIFER MARIE JIMENEZ

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

General Provider Information

NPI Number	:	1417802976
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER MARIE JIMENEZ

Provider Business Mailing Address
First Line	:	2685 W 66TH ST APT 24
Second Line	:
City	:	HIALEAH GARDENS
State	:	FL
Zip	:	33016-2848
Country	:	US
Telephone Number	:	305-343-0783
Fax Number	:

Provider Business Practice Location Address
First Line	:	12730 NW 102ND PL
Second Line	:
City	:	HIALEAH GARDENS
State	:	FL
Zip	:	33018-6028
Country	:	US
Telephone Number	:	305-343-0783
Fax Number	:

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

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

Similar Medicare Providers

1649125121 — KRISTYN YOUNG
Practice Location Address:

12730 NW 102ND PL
HIALEAH GARDENS, FL
33018-6028

Practice Phone: 305-343-0783
Practice Fax:

1093203085 — YENIS GONZALEZ LOPEZ
Practice Location Address:

12772 NW 102ND PL
HIALEAH GARDENS, FL
33018-6028

Practice Phone: 786-398-2965
Practice Fax:

1487137048 — GRISEL DE LA CONCEPCION MOZAS MSOT
Practice Location Address:

12786 NW 102ND PL
HIALEAH GARDENS, FL
33018-6028

Practice Phone: 305-303-5632
Practice Fax:

1346975521 — DAY TO DAY BEHAVIORAL SERVICES LLC
Practice Location Address:

12730 NW 102ND PL
HIALEAH GARDENS, FL
33018-6028

Practice Phone: 305-343-0783
Practice Fax:

1487417903 — ZAYME GARCES
Practice Location Address:

12772 NW 102ND PL
HIALEAH GARDENS, FL
33018-6028

Practice Phone: 786-716-0932
Practice Fax:

1568356020 — MELISSA GARCIA
Practice Location Address:

12760 NW 102ND PL
HIALEAH GARDENS, FL
33018-6028

Practice Phone: 305-498-6626
Practice Fax:

Directions to “ JENNIFER MARIE JIMENEZ ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.