National Provider Identifier

Kate-Lynn Justine Jimerson

Kate-Lynn Justine Jimerson is listed in the NPPES registry with a primary specialty of Behavior Technician in West Seneca, NY and a listed phone number of (818) 241-6780.

NPI 1770165060West Seneca, NYBehavior Technician

Profile Overview

NPI
1770165060
Provider Type
Individual
Primary Specialty
Behavior Technician
Enumeration Date
April 26, 2021
Last Updated
April 26, 2021

Practice Location

  • 950A Union RD Ste 213
  • West Seneca, NY 14224-3462

Phone: (818) 241-6780

Specialties

  • Behavior Technician (106S00000X)
Full Record
NPI
1770165060
Entity Type
Individual
Last Name
Jimerson
First Name
Kate-Lynn
Middle Name
Justine
Mailing Street Address
950A Union RD Ste 213
Mailing City
West Seneca
Mailing State
NY
Mailing ZIP Code
14224-3462
Mailing Country
US
Practice Street Address
950A Union RD Ste 213
Practice City
West Seneca
Practice State
NY
Practice ZIP Code
14224-3462
Practice Country
US
Practice Phone
(818) 241-6780
Enumeration Date
April 26, 2021
Last Updated
April 26, 2021
Sex
Female
Sole Proprietor
No
Certification Date
April 26, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Behavior Technician (106S00000X)