MEDICARE: LISBE RAMIREZ VALIENTE

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	25411529	FL

General Provider Information

NPI Number	:	1851193940
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISBE RAMIREZ VALIENTE

Provider Business Mailing Address
First Line	:	1513 ORANGE AVE FL 34769
Second Line	:
City	:	SAINT CLOUD
State	:	FL
Zip	:	34769-4740
Country	:	US
Telephone Number	:	786-413-2817
Fax Number	:

Provider Business Practice Location Address
First Line	:	1513 ORANGE AVE FL 34769
Second Line	:
City	:	SAINT CLOUD
State	:	FL
Zip	:	34769-4740
Country	:	US
Telephone Number	:	786-413-2817
Fax Number	:	786-413-2817

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

Provider Enumeration Date	:	03/27/2025
Last Update Date	:	03/27/2025

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Directions to “ LISBE RAMIREZ VALIENTE ” Practice Location

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