Healthcare Provider Details

I. General information

NPI: 1528971249
Provider Name (Legal Business Name): MACAYLA RAMOZ LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8180 SIEGEN LN
BATON ROUGE LA
70810-1914
US

IV. Provider business mailing address

8180 SIEGEN LN
BATON ROUGE LA
70810-1914
US

V. Phone/Fax

Practice location:
  • Phone: 225-757-8002
  • Fax:
Mailing address:
  • Phone: 225-757-8002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberL-1167
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: