Provider Demographics
NPI:1427939685
Name:JIMENEZ DUQUE, YULLIE PAULIN
Entity type:Individual
Prefix:
First Name:YULLIE
Middle Name:PAULIN
Last Name:JIMENEZ DUQUE
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 1:12103 GLENMOOR DR
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-2808
Mailing Address - Country:US
Mailing Address - Phone:754-249-3518
Mailing Address - Fax:
Practice Address - Street 1:12103 GLENMOOR DR
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-2808
Practice Address - Country:US
Practice Address - Phone:754-249-3518
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-11
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician