Provider Demographics
NPI:1104617265
Name:HENRIQUEZ RAMIREZ, AMIRIS TERESA (MD, BCBA)
Entity type:Individual
Prefix:DR
First Name:AMIRIS
Middle Name:TERESA
Last Name:HENRIQUEZ RAMIREZ
Suffix:
Gender:F
Credentials:MD, BCBA
Other - Prefix:DR
Other - First Name:AMIRIS
Other - Middle Name:
Other - Last Name:DIPUGLIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:656 HARVEST DRIVE
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17404-7805
Mailing Address - Country:US
Mailing Address - Phone:717-332-3881
Mailing Address - Fax:
Practice Address - Street 1:656 HARVEST DR
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17404-7805
Practice Address - Country:US
Practice Address - Phone:717-332-3881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-16
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH004355103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst