Individual
MARINA CECILIA ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
731 MALL RING CIR STE 215, HENDERSON, NV 89014-6691
(702) 547-6971
Mailing address
731 MALL RING CIR STE 215, HENDERSON, NV 89014-6691
(702) 547-6971
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-98669
NV
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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