Healthcare Provider Details

I. General information

NPI: 1275200669
Provider Name (Legal Business Name): MELANIE RAMOS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2021
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42850 GARFIELD RD STE 101
CLINTON TOWNSHIP MI
48038-5026
US

IV. Provider business mailing address

PO BOX 223220
PITTSBURGH PA
15251-2220
US

V. Phone/Fax

Practice location:
  • Phone: 786-933-6274
  • Fax:
Mailing address:
  • Phone: 786-933-6274
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-24-73345
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: