Individual
ALICIA MARIE ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
750 BROADWAY AVE E, MATTOON, IL 61938-4610
(217) 238-5700
Mailing address
750 BROADWAY AVE E, MATTOON, IL 61938-4610
(217) 238-5700
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/25/2026
Last updated
03/25/2026
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