Individual
ALYSSA ORTEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15100 NE 11TH CT, NORTH MIAMI BEACH, FL 33162-5818
(305) 766-4986
Mailing address
15100 NE 11TH CT, NORTH MIAMI BEACH, FL 33162-5818
(305) 766-4986
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/25/2022
Last updated
04/15/2022
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