Provider Demographics
NPI:1922818103
Name:RAMIREZ SANCHEZ, YESSICA GRACE
Entity type:Individual
Prefix:
First Name:YESSICA
Middle Name:GRACE
Last Name:RAMIREZ SANCHEZ
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 1:183 W 1350 N
Mailing Address - Street 2:
Mailing Address - City:LAYTON
Mailing Address - State:UT
Mailing Address - Zip Code:84041-5862
Mailing Address - Country:US
Mailing Address - Phone:385-456-6108
Mailing Address - Fax:
Practice Address - Street 1:183 W 1350 N
Practice Address - Street 2:
Practice Address - City:LAYTON
Practice Address - State:UT
Practice Address - Zip Code:84041-5862
Practice Address - Country:US
Practice Address - Phone:385-456-6108
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-10
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician