Fajardo, Diana Ramirez

Fajardo, Diana Ramirez is an individual health care provider with primary practice located at 601 Potrero Grande Dr , Monterey Park CA 91755-7430. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Fajardo, Diana Ramirez can be contacted via phone (323) 827-6529.

Contact Information

Primary practice address
601 Potrero Grande Dr Monterey Park CA 91755-7430
Phone: (323) 827-6529
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 85008 California
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-17-25503 California

Profile Details

NPI number 1962843201
LBN Legal business name Fajardo, Diana Ramirez
Credentials LCSW, BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2013
Last updated Jul 9th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962843201 NPPES
California Other DR1416 LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH

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