Individual
ALYSSA ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
2400 SE FEDERAL HWY STE 220, STUART, FL 34994-4556
(772) 678-6704
Mailing address
2400 SE FEDERAL HWY STE 220, STUART, FL 34994-4556
(772) 678-6704
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-193262
FL
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112589300
—
FL
Enumeration date
08/11/2021
Last updated
02/28/2022
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