MEDICARE: KENLY LIGNEY 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
1	106E00000X	Assistant Behavior Analyst		FL

General Provider Information

NPI Number	:	1942077565
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENLY LIGNEY RAMIREZ

Provider Business Mailing Address
First Line	:	19310 NW 83RD AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33015-5387
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	19310 NW 83RD AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33015-5387
Country	:	US
Telephone Number	:	305-979-3935
Fax Number	:

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

Provider Enumeration Date	:	12/04/2023
Last Update Date	:	03/02/2026

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Directions to “ KENLY LIGNEY RAMIREZ ” Practice Location

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