MEDICARE: DEYSI RAMIREZ RBT

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	RBT-18-70478	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093387441
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEYSI RAMIREZ RBT

Provider Business Mailing Address
First Line	:	2641 NE 4TH ST UNIT 101
Second Line	:
City	:	HOMESTEAD
State	:	FL
Zip	:	33033-7065
Country	:	US
Telephone Number	:	786-662-9654
Fax Number	:

Provider Business Practice Location Address
First Line	:	950 N KROME AVE STE 409
Second Line	:
City	:	HOMESTEAD
State	:	FL
Zip	:	33030-4443
Country	:	US
Telephone Number	:	786-351-6878
Fax Number	:	786-504-8924

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

Provider Enumeration Date	:	07/14/2021
Last Update Date	:	07/14/2021

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Directions to “ DEYSI RAMIREZ RBT” Practice Location

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