Provider Demographics
NPI:1154150308
Name:RAMIREZ, NATHALIA
Entity type:Individual
Prefix:
First Name:NATHALIA
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 CANAL ST UNIT 1240
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01840-1572
Mailing Address - Country:US
Mailing Address - Phone:978-876-3808
Mailing Address - Fax:
Practice Address - Street 1:300 CANAL ST UNIT 1240
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01840-1572
Practice Address - Country:US
Practice Address - Phone:978-876-3808
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-27
Last Update Date:2024-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician