MEDICARE: AURELIA DEL MARIA JIMENEZ CORDOVA

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	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1659206514
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AURELIA DEL MARIA JIMENEZ CORDOVA

Provider Business Mailing Address
First Line	:	7017 DIVER AVE
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89084-3104
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2921 N TENAYA WAY
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0454
Country	:	US
Telephone Number	:	702-942-1774
Fax Number	:

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

Provider Enumeration Date	:	06/15/2026
Last Update Date	:	06/15/2026

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Directions to “ AURELIA DEL MARIA JIMENEZ CORDOVA ” Practice Location

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