Individual
IVY RAMIREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 CEDAR HILL ST STE 200, MARLBOROUGH, MA 01752-5900
(773) 756-7121
Mailing address
1744 W 34TH ST, CHICAGO, IL 60608-6233
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
19-106185
IL
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/13/2021
Last updated
03/13/2021
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