Individual
JENNA R ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
424 CENTRAL AVE STE 2, WESTFIELD, NJ 07090-2561
(908) 588-7500
Mailing address
41 N 8TH ST, KENILWORTH, NJ 07033-1531
(908) 499-7471
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/17/2024
Last updated
01/27/2024
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