BEGIN:VCARD VERSION:3.0 FN:Joshua Ramirez N:Ramirez;Joshua;;; TITLE:Behavior Technician TEL;TYPE=WORK,VOICE:+15304922359 URL:https://www.gale.care/providers/ca/sacramento/joshua-ramirez-1831905108 NOTE:NPI 1831905108. From the NPPES registry (CMS)\, file of 2026-06-08. No t affiliated with Gale. X-NPI:1831905108 END:VCARD