Provider Demographics
NPI:1184433989
Name:RAMIREZ, CELESTE RACHELE
Entity type:Individual
Prefix:
First Name:CELESTE
Middle Name:RACHELE
Last Name:RAMIREZ
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 1:10900 183RD ST STE 285
Mailing Address - Street 2:
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90703-5347
Mailing Address - Country:US
Mailing Address - Phone:562-292-8524
Mailing Address - Fax:
Practice Address - Street 1:10900 183RD ST STE 285
Practice Address - Street 2:
Practice Address - City:CERRITOS
Practice Address - State:CA
Practice Address - Zip Code:90703-5347
Practice Address - Country:US
Practice Address - Phone:562-292-8524
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-06
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1024912106S00000X
106S00000X
CA1024912106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician