MEDICARE: HAYLEE DANIELA RAMOS

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	24331349	FL

General Provider Information

NPI Number	:	1154180016
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAYLEE DANIELA RAMOS

Provider Business Mailing Address
First Line	:	1645 PALM BEACH LAKES BLVD STE 1200
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-2214
Country	:	US
Telephone Number	:	561-762-8775
Fax Number	:	561-828-2244

Provider Business Practice Location Address
First Line	:	3910 MERRILL AVE
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33405-2047
Country	:	US
Telephone Number	:	561-674-5299
Fax Number	:

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

Provider Enumeration Date	:	03/14/2024
Last Update Date	:	03/14/2024

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Directions to “ HAYLEE DANIELA RAMOS ” Practice Location

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