Provider Demographics
NPI:1053144063
Name:RAMIREZ, ROSALIZ (RBT)
Entity type:Individual
Prefix:MS
First Name:ROSALIZ
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 SW 67TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-2947
Mailing Address - Country:US
Mailing Address - Phone:786-583-6179
Mailing Address - Fax:
Practice Address - Street 1:315 SW 67TH CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-2947
Practice Address - Country:US
Practice Address - Phone:786-583-6179
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-23
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1132982106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician