MEDICARE: YESENIA 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

General Provider Information

NPI Number	:	1487509600
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YESENIA RAMIREZ

Provider Business Mailing Address
First Line	:	3003 LAKESHORE DR APT 115
Second Line	:
City	:	SAINT JOSEPH
State	:	MI
Zip	:	49085-2358
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 3 MILE RD NW STE 200
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49544-1691
Country	:	US
Telephone Number	:	855-832-6727
Fax Number	:

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

Provider Enumeration Date	:	03/03/2026
Last Update Date	:	03/03/2026

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Directions to “ YESENIA RAMIREZ ” Practice Location

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