Healthcare Provider Details

I. General information

NPI: 1194632166
Provider Name (Legal Business Name): JASMINE ENID RAMOS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 FAIRWAY DR STE IS101
DEERFIELD BEACH FL
33441-1834
US

IV. Provider business mailing address

105 OSWEGO ST APT 2A
SPRINGFIELD MA
01105-2140
US

V. Phone/Fax

Practice location:
  • Phone: 877-418-2978
  • Fax: 866-500-2186
Mailing address:
  • Phone: 413-364-1086
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: