Individual provider Active NPI

Kenia Ramos

  • Behavior Analyst
  • Port Charlotte, FL
National Provider Identifier
1164057162
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-23-69211 Issued in FL
Practice address
1777 Tamiami TRL Ste 303-13
Port Charlotte, FL 33948-4128
Phone
(941) 288-3456
NPI assigned
Mar 10, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-23-69211 FL Primary

Addresses

Primary practice location

1777 Tamiami TRL Ste 303-13
Port Charlotte, FL 33948-4128

Mailing address

1777 Tamiami TRL Ste 303-13
Port Charlotte, FL 33948-4128
Phone (941) 288-3456

Other practice location 1

1154 Lee Blvd Ste 6
Lehigh Acres, FL 33936-4852
Phone (239) 491-2603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bluebird Behavior Therapy LLC Behavior Analyst CurrentSince Feb 23, 2025 Accepting new patients
Blue Jay Behavior Services LLC Behavior Analyst CurrentSince Feb 25, 2024 Accepting new patients
Well Health Center LLC CurrentSince Jan 19, 2025 Accepting new patients

Locations

1154 Lee Blvd
Ste 6
Lehigh Acres, FL 33936
Phone (239) 491-2603

1777 Tamiami Trl
Ste 303-13
Port Charlotte, FL 33948
Phone (786) 603-9214

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1164057162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 TAMIAMI TRL STE 303-13",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339484128",
            "telephone_number": "941-288-3456",
            "fax_number": "941-336-4226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 TAMIAMI TRL STE 303-13",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339484128",
            "telephone_number": "941-288-3456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1154 Lee Blvd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Lehigh Acres",
            "state": "FL",
            "postal_code": "339364852",
            "country_code": "US",
            "telephone_number": "239-491-2603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMOS",
        "first_name": "KENIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-10",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-23-69211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.