Individual
DIANNA ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3344 SHERMAN CT STE 105, EAGAN, MN 55121-5009
(651) 500-1998
Mailing address
3344 SHERMAN CT STE 105, EAGAN, MN 55121-5009
(651) 500-1998
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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