Healthcare Provider Details

I. General information

NPI: 1194203083
Provider Name (Legal Business Name): MARIA SOFIA RAMIREZ BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2018
Last Update Date: 07/20/2020
Certification Date: 07/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1846 LOCKHILL SELMA RD STE 105
SAN ANTONIO TX
78213-1551
US

IV. Provider business mailing address

14838 VANCE JACKSON RD APT 104
SAN ANTONIO TX
78249-3153
US

V. Phone/Fax

Practice location:
  • Phone: 210-643-1119
  • Fax:
Mailing address:
  • Phone: 956-225-7708
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-17-43522
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-20-42992
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: