Provider Demographics
NPI:1760232268
Name:RAMIREZ COLUMBIE, YAIMARA
Entity Type:Individual
Prefix:
First Name:YAIMARA
Middle Name:
Last Name:RAMIREZ COLUMBIE
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 1:6479 SW 26TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-2948
Mailing Address - Country:US
Mailing Address - Phone:786-690-5098
Mailing Address - Fax:
Practice Address - Street 1:6479 SW 26TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-2948
Practice Address - Country:US
Practice Address - Phone:786-690-5098
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-26
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLBACB1033685106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician