Provider Demographics
NPI:1477103208
Name:RAMOS PEREZ, MILENA (BCBA)
Entity Type:Individual
Prefix:
First Name:MILENA
Middle Name:
Last Name:RAMOS PEREZ
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29485 SW 177TH CT
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33030-1801
Mailing Address - Country:US
Mailing Address - Phone:786-486-0165
Mailing Address - Fax:
Practice Address - Street 1:29485 SW 177TH CT
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33030-1801
Practice Address - Country:US
Practice Address - Phone:786-486-0165
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-13
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-21-49321103K00000X
FLRBT-18-71096106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician