Provider Demographics
NPI:1194555466
Name:JIMENEZ TAPANES, ZULEYMIS
Entity type:Individual
Prefix:
First Name:ZULEYMIS
Middle Name:
Last Name:JIMENEZ TAPANES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6429 COW PEN RD APT U103
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-6662
Mailing Address - Country:US
Mailing Address - Phone:786-389-0503
Mailing Address - Fax:
Practice Address - Street 1:6429 COW PEN RD APT U103
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-6662
Practice Address - Country:US
Practice Address - Phone:786-389-0503
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-02
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-24-366189103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst