Individual
JUSTIN RICARDO ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., BCBA
Contact information
Practice address
200 CAHABA PARK CIR STE 116, BIRMINGHAM, AL 35242-5041
(205) 253-6903
(855) 380-3591
Mailing address
7030 ALEXANDRIA JACKSONVLE HWY APT 52, JACKSONVILLE, AL 36265-5632
(205) 363-1862
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2021-052
AL
Other
Enumeration date
06/27/2021
Last updated
06/27/2021
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