Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Basille Jimenez, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1912600289

Basille Jimenez, MS, CCC-SLP is a Speech-Language Pathologist in Gardena, California. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

1411 W 190th St Ste 110
Gardena, CA 90248-4370
Phone: (310) 719-3908
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1912600289
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedMarch 24, 2023
Last updated in NPPESOctober 16, 2025
Certification dateOctober 16, 2025
Mailing address1411 W 190th St Ste 110, Gardena, CA 90248-4370

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