Provider Demographics
NPI:1992331763
Name:RAMOS, GLORIA (RBT-20-111112)
Entity type:Individual
Prefix:
First Name:GLORIA
Middle Name:
Last Name:RAMOS
Suffix:
Gender:F
Credentials:RBT-20-111112
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2750 SE 15TH PL
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33035-2446
Mailing Address - Country:US
Mailing Address - Phone:305-281-4219
Mailing Address - Fax:
Practice Address - Street 1:2750 SE 15TH PL
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33035-2446
Practice Address - Country:US
Practice Address - Phone:305-281-4219
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-12
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-20-111112106S00000X
106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician