Provider Demographics
NPI:1558109033
Name:RAMIREZ MOTA, ANA L (RBT-24-361958)
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:L
Last Name:RAMIREZ MOTA
Suffix:
Gender:F
Credentials:RBT-24-361958
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:328 TROPICANA PKWY E
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33909-1935
Mailing Address - Country:US
Mailing Address - Phone:239-414-4766
Mailing Address - Fax:
Practice Address - Street 1:328 TROPICANA PKWY E
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33909-1935
Practice Address - Country:US
Practice Address - Phone:239-414-4766
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-18
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-24-361958106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician