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NPI Code Detail

MEDICARE: YETEL CASTANEDA RAMIREZ

MEDICARE: YETEL CASTANEDA RAMIREZ
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 Technician

General Provider Information

NPI Number : 1699588277
Entity Type Code : Individual
Provider Name (Legal Business Name) : YETEL CASTANEDA RAMIREZ
Provider Business Mailing Address
First Line : 8451 MANTA RAY CIR
Second Line :
City : CYPRESS
State : TX
Zip : 77433-3228
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8451 MANTA RAY CIR
Second Line :
City : CYPRESS
State : TX
Zip : 77433-3228
Country : US
Telephone Number : 346-282-9260
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2025
Last Update Date : 01/28/2025

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Directions to “ YETEL CASTANEDA RAMIREZ ” Practice Location

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