Provider Demographics
NPI:1467263830
Name:RAMIREZ SAO, YUDISNAY EVELIN
Entity type:Individual
Prefix:
First Name:YUDISNAY
Middle Name:EVELIN
Last Name:RAMIREZ SAO
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 1:71 DAVIS RD
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33461-2911
Mailing Address - Country:US
Mailing Address - Phone:561-635-6764
Mailing Address - Fax:
Practice Address - Street 1:71 DAVIS RD
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33461-2911
Practice Address - Country:US
Practice Address - Phone:561-635-6764
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-15
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician