Healthcare Provider Details

I. General information

NPI: 1619466588
Provider Name (Legal Business Name): MS. BRIANNA MARIE RAMIREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2018
Last Update Date: 06/12/2024
Certification Date: 06/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1195 HUDSON AVE
SAN FRANCISCO CA
94124-2488
US

IV. Provider business mailing address

370 IMPERIAL WAY APT 115
DALY CITY CA
94015-2780
US

V. Phone/Fax

Practice location:
  • Phone: 628-241-8798
  • Fax:
Mailing address:
  • Phone: 650-815-5783
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number6837
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: