Provider Demographics
NPI:1982184016
Name:SUAREZ RAMOS, YAMIREYDI
Entity Type:Individual
Prefix:
First Name:YAMIREYDI
Middle Name:
Last Name:SUAREZ 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 1:1370 MC DERMOTT LN
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-4016
Mailing Address - Country:US
Mailing Address - Phone:786-623-9456
Mailing Address - Fax:
Practice Address - Street 1:1370 MC DERMOTT LN
Practice Address - Street 2:
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-4016
Practice Address - Country:US
Practice Address - Phone:786-623-9456
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-17
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0-20-11311106E00000X
FLRBT-18-59519106S00000X
FL1-21-54912103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician