Provider Demographics
NPI:1912604042
Name:RAMIREZ COLLADO, ALONDRA M
Entity Type:Individual
Prefix:
First Name:ALONDRA
Middle Name:M
Last Name:RAMIREZ COLLADO
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 1:1727 17TH LN
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33463-4361
Mailing Address - Country:US
Mailing Address - Phone:561-360-5088
Mailing Address - Fax:
Practice Address - Street 1:1870 FOREST HILL BLVD STE 205
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33406-6061
Practice Address - Country:US
Practice Address - Phone:561-200-5227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-09
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician