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Individual
LISANDRA ORTEGA FONG
Active
Individual
LISANDRA ORTEGA FONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
BCABA-0-23-14855
FL
106S00000X
Behavior Technician
RBT-20-111309
FL
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
02/20/2020
Last updated
07/09/2025
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