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NPI Code Detail

MEDICARE: ERICKA RAMOS

MEDICARE:   ERICKA  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
1106S00000XBehavior TechnicianRBT-24-394011FL

General Provider Information

NPI Number : 1619793098
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERICKA RAMOS
Provider Business Mailing Address
First Line : 3411 17TH ST SW
Second Line :
City : LEHIGH ACRES
State : FL
Zip : 33976-3550
Country : US
Telephone Number : 239-209-8971
Fax Number :
Provider Business Practice Location Address
First Line : 28410 BONITA CROSSINGS BLVD UNIT 150
Second Line :
City : BONITA SPRINGS
State : FL
Zip : 34135-3217
Country : US
Telephone Number : 239-451-7163
Fax Number : 239-310-2045
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2024
Last Update Date : 12/02/2024

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Directions to “ ERICKA RAMOS ” Practice Location

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