Individual
MR. LOUIS ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 W CHEYENNE AVE APT 1025, NORTH LAS VEGAS, NV 89030-7830
(323) 705-8752
(725) 605-6386
Mailing address
1200 W CHEYENNE AVE APT 1025, NORTH LAS VEGAS, NV 89030-7830
(323) 705-8752
(725) 605-6386
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/01/2017
Last updated
12/01/2017
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