Basic Information
Provider Information
NPI: 1134798622
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RAMEY
FirstName: CARMEN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherCredential:  
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Mailing Information
Address1: 560 SYLVAN AVE STE 1110
Address2:  
City: ENGLEWOOD CLIFFS
State: NJ
PostalCode: 076323118
CountryCode: US
TelephoneNumber: 6468736600
FaxNumber:  
Practice Location
Address1: 9005 OVERLOOK BLVD
Address2:  
City: BRENTWOOD
State: TN
PostalCode: 370275269
CountryCode: US
TelephoneNumber: 6157334651
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/21/2021
LastUpdateDate: 06/22/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/22/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
103K00000X  Y Behavioral Health & Social Service ProvidersBehavioral Analyst 

No ID Information.


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