Individual
AUDREY ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
10401 CALLE HERMOSA CT NW, ALBUQUERQUE, NM 87114
(505) 410-5549
Mailing address
10401 CALLE HERMOSA CT NW, ALBUQUERQUE, NM 87114
(505) 410-5549
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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