Provider Demographics
NPI:1467037333
Name:RAMSEY, GLORIA (RBT)
Entity Type:Individual
Prefix:
First Name:GLORIA
Middle Name:
Last Name:RAMSEY
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:GLORIA
Other - Middle Name:
Other - Last Name:WOODY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9241 FOREST ISLAND DR
Mailing Address - Street 2:
Mailing Address - City:COLLIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38017-3576
Mailing Address - Country:US
Mailing Address - Phone:770-490-2541
Mailing Address - Fax:
Practice Address - Street 1:146 TIMBER CREEK DR STE 101
Practice Address - Street 2:
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38018-4396
Practice Address - Country:US
Practice Address - Phone:901-249-7838
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-12
Last Update Date:2021-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician