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NPI Code Detail

MEDICARE: BERENICE GOMEZ RAMOS BS IN PSYCHOLOGY

MEDICARE: BERENICE GOMEZ RAMOS BS IN PSYCHOLOGY
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
1103K00000XBehavior Analyst1-22-62706FL

General Provider Information

NPI Number : 1710342407
Entity Type Code : Individual
Provider Name (Legal Business Name) : BERENICE GOMEZ RAMOS BS IN PSYCHOLOGY
Provider Business Mailing Address
First Line : 1263 NW 87TH AVE
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33071-7176
Country : US
Telephone Number : 786-267-7027
Fax Number :
Provider Business Practice Location Address
First Line : 1263 NW 87TH AVE
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33071-7176
Country : US
Telephone Number : 786-267-7027
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2015
Last Update Date : 11/28/2022

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