MEDICARE: SAMANTHA C RAMOS MARTINEZ

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	:	1689492266
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMANTHA C RAMOS MARTINEZ

Provider Business Mailing Address
First Line	:	2239 HARDING ST
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33020-2344
Country	:	US
Telephone Number	:	305-896-8571
Fax Number	:

Provider Business Practice Location Address
First Line	:	2239 HARDING ST
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33020-2344
Country	:	US
Telephone Number	:	305-896-8571
Fax Number	:

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

Provider Enumeration Date	:	10/01/2024
Last Update Date	:	03/21/2026

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Directions to “ SAMANTHA C RAMOS MARTINEZ ” Practice Location

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