Healthcare Provider Details

I. General information

NPI: 1962040709
Provider Name (Legal Business Name): ANA CECILIA RAMIREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2019
Last Update Date: 06/17/2021
Certification Date: 06/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1620 COLORADO AVE
TURLOCK CA
95382-2713
US

IV. Provider business mailing address

959 SAINT JAMES CT
HAYWARD CA
94541-1842
US

V. Phone/Fax

Practice location:
  • Phone: 877-828-8476
  • Fax:
Mailing address:
  • Phone: 510-600-9295
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: