Provider Demographics
NPI:1932406287
Name:RAMEY, ANN C (LCSW, BCBA)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:C
Last Name:RAMEY
Suffix:
Gender:F
Credentials:LCSW, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1236 E 1000 NORTH RD
Mailing Address - Street 2:
Mailing Address - City:TAYLORVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62568-8139
Mailing Address - Country:US
Mailing Address - Phone:217-638-4211
Mailing Address - Fax:
Practice Address - Street 1:1236 E 1000 NORTH RD
Practice Address - Street 2:
Practice Address - City:TAYLORVILLE
Practice Address - State:IL
Practice Address - Zip Code:62568-8139
Practice Address - Country:US
Practice Address - Phone:217-638-4211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-23
Last Update Date:2016-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1-15-18023103K00000X
IL1490145891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst