Healthcare Provider Details

I. General information

NPI: 1902562267
Provider Name (Legal Business Name): SIRENIA RAMIREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/11/2021
Last Update Date: 05/09/2026
Certification Date: 05/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7462 N FIGUEROA ST STE 103
LOS ANGELES CA
90041-1723
US

IV. Provider business mailing address

7462 N FIGUEROA ST STE 103
LOS ANGELES CA
90041-1723
US

V. Phone/Fax

Practice location:
  • Phone: 310-620-2277
  • Fax:
Mailing address:
  • Phone: 310-620-2277
  • Fax: 323-866-1881

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-89805
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: