Individual
HALI YVONNE ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2314 6TH AVE SE STE D, DECATUR, AL 35601-6565
(256) 686-3169
Mailing address
2314 6TH AVE SE STE D, DECATUR, AL 35601-6565
(256) 686-3169
(800) 607-1947
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-172388
AL
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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