Individual
LAUREN ELISE ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3595 RANCH ROAD 620 S, UNIT 220, AUSTIN, TX 78738-6803
(210) 840-8401
Mailing address
9617 GREAT HILLS TRL, APT 1023, AUSTIN, TX 78759-6272
(210) 840-8401
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB279941
TX
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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