MEDICARE: ROXANNA C RAMIREZ BCBA

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	1188	TX
2	103K00000X	Behavior Analyst	1-13-13439	TX

General Provider Information

NPI Number	:	1558701516
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROXANNA C RAMIREZ BCBA

Provider Business Mailing Address
First Line	:	3807 FIESTA TRL
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78245-2444
Country	:	US
Telephone Number	:	210-275-2925
Fax Number	:

Provider Business Practice Location Address
First Line	:	3807 FIESTA TRL
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78245-2444
Country	:	US
Telephone Number	:	210-275-2925
Fax Number	:

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

Provider Enumeration Date	:	07/04/2013
Last Update Date	:	04/14/2026

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