# APTITUDE HABILITATION SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912285859
- **Authorized official:** DR. EDWYN W ORTIZ-NANCE PSYD (CLINCAL PSYCHOLOGIST)
- **Authorized official phone:** (559) 824-8934

## Contact information

- **Practice address:** 31955 SR 20, SUITE \#3, OAK HARBOR, WA 98277-5211
- **Practice address phone:** (559) 824-8934
- **Mailing address:** 31955 SR 20 STE 3, OAK HARBOR, WA 98277-5211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103G00000X | Clinical Neuropsychologist | PY 60221926 | WA | — |
| 103T00000X | Psychologist | PY 60221926 | WA | Yes |
| 103TM1800X | Intellectual & Developmental Disabilities Psychologist | PY 60221926 | WA | — |
| 103TP2701X | Group Psychotherapy Psychologist | PY60221926 | WA | — |

## Other

- **Enumeration date:** 07/26/2011
- **Last updated:** 07/26/2011
