Individual
TANISHA ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3625 WELSH RD APT L26, WILLOW GROVE, PA 19090-2935
(148) 493-4824
Mailing address
3625 WELSH RD APT L26, WILLOW GROVE, PA 19090-2935
(148) 493-4824
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
PA
Other
Enumeration date
03/22/2021
Last updated
12/15/2021
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