Healthcare Provider Details
I. General information
NPI: 1447001409
Provider Name (Legal Business Name): AYREN MARIA ALARCON RAMIREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 03/28/2024
Last Update Date: 03/28/2024
Certification Date: 03/28/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5425 GOLDEN GATE PKWY
NAPLES FL
34116-7524
US
IV. Provider business mailing address
5356 GRAND CYPRESS CIR APT 203
NAPLES FL
34109-0908
US
V. Phone/Fax
- Phone: 239-778-8455
- Fax:
- Phone: 239-601-7561
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 106S00000X |
| Taxonomy | Behavior Technician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: