Provider Demographics
NPI:1437972908
Name:MATIAS RAMOS, ANA FILIPA
Entity type:Individual
Prefix:
First Name:ANA FILIPA
Middle Name:
Last Name:MATIAS RAMOS
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 1:14820 THREE PONDS TRL
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33446-1266
Mailing Address - Country:US
Mailing Address - Phone:561-756-2124
Mailing Address - Fax:
Practice Address - Street 1:6261 SW 18TH ST
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-7146
Practice Address - Country:US
Practice Address - Phone:561-750-9665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-04
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-24-387242106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician