Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst |
NPI | 1013258292 |
---|---|
Provider Name | Manuel Edward Ramirez |
First Address | Chino Hills, CA 91709-5432 |
Second Address | Victorville, CA 92392-2409 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/03/2013 |
Last Update Date | 12/03/2013 |