Individual
YULISSA ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1160 S GRAND AVE, GLENDORA, CA 91740-5000
(626) 335-5980
Mailing address
PO BOX 1191, PAUMA VALLEY, CA 92061-1191
(760) 532-9690
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APCC12214
CA
106S00000X
Behavior Technician
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
08/17/2020
Last updated
09/06/2022
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