Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst |
NPI | 1003177981 |
---|---|
Provider Name | Mr. Manuel D Ramos JR. |
First Address | Bronx, NY 10469-5312 |
Second Address | Bronx, NY 10469-5312 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2012 |
Last Update Date | 06/06/2012 |