Healthcare Provider Details

I. General information

NPI: 1013884873
Provider Name (Legal Business Name): TALIA VELASCO RAMOS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2025
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2841 NE 163RD ST APT 1004
NORTH MIAMI BEACH FL
33160-4408
US

IV. Provider business mailing address

2841 NE 163RD ST APT 1004
NORTH MIAMI BEACH FL
33160-4408
US

V. Phone/Fax

Practice location:
  • Phone: 305-429-9249
  • Fax:
Mailing address:
  • Phone: 305-429-9249
  • 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: