Healthcare Provider Details

I. General information

NPI: 1902743032
Provider Name (Legal Business Name): ARIANA RAMOS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3933 MEMORIAL BLVD
SPRINGFIELD TN
37172-4200
US

IV. Provider business mailing address

3933 MEMORIAL BLVD
SPRINGFIELD TN
37172-4200
US

V. Phone/Fax

Practice location:
  • Phone: 615-203-0900
  • Fax: 516-299-6097
Mailing address:
  • Phone: 615-203-0900
  • Fax: 516-299-6097

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: