Individual
BETHANY L RAMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1432 TERRA NOVA BLVD, PACIFICA, CA 94044-3615
(512) 470-4228
Mailing address
1432 TERRA NOVA BLVD, PACIFICA, CA 94044-3615
(512) 470-4228
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11518116
CA
Other
Enumeration date
01/25/2016
Last updated
11/02/2018
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