Provider Demographics
NPI:1295280980
Name:GIAMBRONE, JESENIA (MS, BCBA)
Entity type:Individual
Prefix:
First Name:JESENIA
Middle Name:
Last Name:GIAMBRONE
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6002 GRAND PALM DR APT 427
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-2661
Mailing Address - Country:US
Mailing Address - Phone:813-424-7421
Mailing Address - Fax:
Practice Address - Street 1:6002 GRAND PALM DR APT 427
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-2661
Practice Address - Country:US
Practice Address - Phone:813-424-7421
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-23
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL103K00000X
FL1-18-31864103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst