Provider Demographics
NPI:1528700051
Name:RAMOS-GONZALES, LENA
Entity type:Individual
Prefix:
First Name:LENA
Middle Name:
Last Name:RAMOS-GONZALES
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 1:415 HIGHWAY 95A
Mailing Address - Street 2:BUILDING I
Mailing Address - City:FERNLEY
Mailing Address - State:NV
Mailing Address - Zip Code:89408
Mailing Address - Country:US
Mailing Address - Phone:775-575-7744
Mailing Address - Fax:775-575-7769
Practice Address - Street 1:415 HIGHWAY 95A
Practice Address - Street 2:BUILDING I
Practice Address - City:FERNLEY
Practice Address - State:NV
Practice Address - Zip Code:89408
Practice Address - Country:US
Practice Address - Phone:775-575-7744
Practice Address - Fax:775-575-7769
Is Sole Proprietor?:No
Enumeration Date:2022-04-13
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician