Provider Demographics
NPI:1306170550
Name:RAMIREZ, EVELYN MARIE
Entity type:Individual
Prefix:MR
First Name:EVELYN
Middle Name:MARIE
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 1:2121 WINDSOR PL
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88005-1500
Mailing Address - Country:US
Mailing Address - Phone:575-636-2506
Mailing Address - Fax:575-636-2506
Practice Address - Street 1:2121 WINDSOR PL
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88005-1500
Practice Address - Country:US
Practice Address - Phone:575-636-2506
Practice Address - Fax:575-636-2506
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-21
Last Update Date:2009-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst