MEDICARE: MRS. IVONNE RAMOS 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	103K00000X	Behavior Analyst	1-20-43513	FL
2	106E00000X	Assistant Behavior Analyst	0189346	FL

General Provider Information

NPI Number	:	1437601838
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. IVONNE RAMOS RAMOS

Provider Business Mailing Address
First Line	:	227 NE 9TH AVE
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33909-2593
Country	:	US
Telephone Number	:	786-262-1818
Fax Number	:

Provider Business Practice Location Address
First Line	:	391 LEE BLVD STE 200
Second Line	:
City	:	LEHIGH ACRES
State	:	FL
Zip	:	33936-4973
Country	:	US
Telephone Number	:	786-262-1818
Fax Number	:

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

Provider Enumeration Date	:	11/01/2016
Last Update Date	:	09/10/2025

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