Provider Demographics
NPI:1740072933
Name:BLANCO RAMOS, CINDY
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:BLANCO RAMOS
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 1:809 LAKEMONT HILLS BLVD
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33510-2539
Mailing Address - Country:US
Mailing Address - Phone:813-668-9664
Mailing Address - Fax:
Practice Address - Street 1:809 LAKEMONT HILLS BLVD
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33510-2539
Practice Address - Country:US
Practice Address - Phone:813-668-9664
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-25-430004106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician