Provider Demographics
NPI:1699422733
Name:RAMOS DELGADO, SOLANDER C
Entity type:Individual
Prefix:
First Name:SOLANDER
Middle Name:C
Last Name:RAMOS DELGADO
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 1:2360 W 66TH PL
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-3973
Mailing Address - Country:US
Mailing Address - Phone:786-380-7400
Mailing Address - Fax:
Practice Address - Street 1:2360 W 66TH PL
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-3973
Practice Address - Country:US
Practice Address - Phone:786-380-7400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-08
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-20-127391106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLRBT-20-127391OtherBACB - BEHAVIOR ANALYST CERTIFICATION BOARD