MEDICARE: SERENA RAMIREZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician	25-7834932899	AZ

General Provider Information

NPI Number	:	1457219156
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SERENA RAMIREZ

Provider Business Mailing Address
First Line	:	4824 E WINSTON DR UNIT 2
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85044-7752
Country	:	US
Telephone Number	:	602-321-5265
Fax Number	:

Provider Business Practice Location Address
First Line	:	3225 S HARDY DR STE 105
Second Line	:
City	:	TEMPE
State	:	AZ
Zip	:	85282-3329
Country	:	US
Telephone Number	:	602-834-1178
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

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Directions to “ SERENA RAMIREZ ” Practice Location

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