Healthcare Provider Details

I. General information

NPI: 1811208879
Provider Name (Legal Business Name): ALYSSIA RAMOS LICSW, BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2010
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

840 SMITHFIELD AVE STE 303
LINCOLN RI
02865-3332
US

IV. Provider business mailing address

840 SMITHFIELD AVE STE 303
LINCOLN RI
02865-3332
US

V. Phone/Fax

Practice location:
  • Phone: 401-773-9777
  • Fax:
Mailing address:
  • Phone: 401-773-9777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberISW02773
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberLBA00239
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: