Individual
AMALIA RAMOS IVISATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8770 SW 12TH ST APT 108, MIAMI, FL 33174-3367
(786) 719-4032
Mailing address
8770 SW 12TH ST APT 108, MIAMI, FL 33174-3367
(786) 719-4032
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
FL
171M00000X
Case Manager/Care Coordinator
—
FL
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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