Provider Demographics
NPI:1205718053
Name:ROSADO RAMOS, GRISELLE ANGELIS (RBT-25-448715)
Entity type:Individual
Prefix:
First Name:GRISELLE
Middle Name:ANGELIS
Last Name:ROSADO RAMOS
Suffix:
Gender:F
Credentials:RBT-25-448715
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1051 PATRIOT LOOP
Mailing Address - Street 2:
Mailing Address - City:HAINES CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33844-8895
Mailing Address - Country:US
Mailing Address - Phone:407-369-2218
Mailing Address - Fax:
Practice Address - Street 1:1051 PATRIOT LOOP
Practice Address - Street 2:
Practice Address - City:HAINES CITY
Practice Address - State:FL
Practice Address - Zip Code:33844-8895
Practice Address - Country:US
Practice Address - Phone:407-369-2218
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-25-448715106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician