Healthcare Provider Details

I. General information

NPI: 1790412385
Provider Name (Legal Business Name): RAMON F FERRER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2022
Last Update Date: 08/03/2022
Certification Date: 08/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 E MONUMENT AVE UNIT 308
KISSIMMEE FL
34741-5772
US

IV. Provider business mailing address

2065 AMBERGRIS DR
ORLANDO FL
32822-8336
US

V. Phone/Fax

Practice location:
  • Phone: 689-837-2423
  • Fax: 407-264-6484
Mailing address:
  • Phone: 321-210-3641
  • Fax: 407-264-6484

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: