Individual
MS. KATIE J ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
889 BELL RD # A, ANTIOCH, TN 37013-3101
(615) 730-6464
Mailing address
475 WHITLOCK RD, PURYEAR, TN 38251-3815
(731) 540-5393
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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