Individual
TALISA ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
581 CROWN ST APT 82, MERIDEN, CT 06450-6438
(917) 561-8366
Mailing address
581 CROWN ST APT 82, MERIDEN, CT 06450-6438
(917) 561-8366
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
CT
Other
Enumeration date
08/11/2022
Last updated
08/12/2022
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