MEDICARE: YASMIN SALAVERRIA-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

General Provider Information

NPI Number	:	1255974424
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YASMIN SALAVERRIA-RAMIREZ

Provider Business Mailing Address
First Line	:	5118 MANGUM RD
Second Line	:
City	:	COLLEGE PARK
State	:	MD
Zip	:	20740-1510
Country	:	US
Telephone Number	:	240-688-8942
Fax Number	:

Provider Business Practice Location Address
First Line	:	12240 INDIAN CREEK CT
Second Line	:
City	:	BELTSVILLE
State	:	MD
Zip	:	20705-1242
Country	:	US
Telephone Number	:	240-688-8942
Fax Number	:

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

Provider Enumeration Date	:	10/21/2019
Last Update Date	:	02/07/2025

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