Provider Demographics
NPI:1639731318
Name:RAMOS ABAD, CINDY (MS, BCBA)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:RAMOS ABAD
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 LAKE BREEZE CT
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-8073
Mailing Address - Country:US
Mailing Address - Phone:561-812-8666
Mailing Address - Fax:
Practice Address - Street 1:3175 S CONGRESS AVE STE 103
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33461-2502
Practice Address - Country:US
Practice Address - Phone:561-822-7510
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-02
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-20-46839103K00000X, 103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL019748300Medicaid
1-20-46839OtherBACB