Healthcare Provider Details

I. General information

NPI: 1437656626
Provider Name (Legal Business Name): LILIA RAMIREZ BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/12/2018
Last Update Date: 07/18/2026
Certification Date: 07/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 DEERWOOD RD STE 115
SAN RAMON CA
94583-4445
US

IV. Provider business mailing address

1417 KELLOGG AVE
CORONA CA
92879-2912
US

V. Phone/Fax

Practice location:
  • Phone: 951-525-9359
  • Fax:
Mailing address:
  • Phone: 951-317-1931
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-16-24071
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: