MEDICARE: JESSE RAMIREZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	106E00000X	Assistant Behavior Analyst
2	103K00000X	Behavior Analyst
3	106S00000X	Behavior Technician

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

General Provider Information

NPI Number	:	1558874248
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSE RAMIREZ

Provider Business Mailing Address
First Line	:	8102 FORT DADE AVE
Second Line	:
City	:	BROOKSVILLE
State	:	FL
Zip	:	34601-8940
Country	:	US
Telephone Number	:	352-777-2195
Fax Number	:

Provider Business Practice Location Address
First Line	:	8102 FORT DADE AVE
Second Line	:
City	:	BROOKSVILLE
State	:	FL
Zip	:	34601-8940
Country	:	US
Telephone Number	:	352-777-2195
Fax Number	:

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

Provider Enumeration Date	:	11/16/2017
Last Update Date	:	11/05/2025

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Directions to “ JESSE RAMIREZ ” Practice Location

Language	Start Address	Practice Location

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