MEDICARE: VICTORIA MARIE RAMIREZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician		CA

General Provider Information

NPI Number	:	1023948262
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTORIA MARIE RAMIREZ

Provider Business Mailing Address
First Line	:	612 S MYRTLE AVE STE 100
Second Line	:
City	:	MONROVIA
State	:	CA
Zip	:	91016-3406
Country	:	US
Telephone Number	:	800-207-0272
Fax Number	:

Provider Business Practice Location Address
First Line	:	70025 CA-111 S
Second Line	:
City	:	RANCHO MIRAGE
State	:	CA
Zip	:	92270
Country	:	US
Telephone Number	:	760-992-3039
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2026
Last Update Date	:	05/20/2026

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Directions to “ VICTORIA MARIE RAMIREZ ” Practice Location

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