Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106S00000X | Behavior Technician |
NPI | 1003321464 |
---|---|
Provider Name | Danay Broche Ramos |
First Address | Miami, FL 33186-7295 |
Second Address | Miami, FL 33186-7295 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/12/2017 |
Last Update Date | 02/03/2021 |