Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-20-40947 | CA |
N | 106E00000X | Assistant Behavior Analyst |
NPI | 1124514518 |
---|---|
Provider Name | Bryana Marie Ramirez |
First Address | Stuart, FL 34997-7462 |
Second Address | Sacramento, CA 95825-6540 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2018 |
Last Update Date | 29/11/2021 |