Healthcare Provider Details

I. General information

NPI: 1730642265
Provider Name (Legal Business Name): DAYANNA IVETTE RAMIREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2019
Last Update Date: 04/01/2025
Certification Date: 04/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2005B VIA BARRETT
SAN LORENZO CA
94580-1315
US

IV. Provider business mailing address

1820 5TH AVE
OAKLAND CA
94606-2428
US

V. Phone/Fax

Practice location:
  • Phone: 510-862-2847
  • Fax:
Mailing address:
  • Phone: 510-862-2847
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: