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Individual

JASMINE ORTIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
18 MICROLAB RD STE 3, LIVINGSTON, NJ 07039-1640
(862) 253-3109
Mailing address
389 20TH AVE, PATERSON, NJ 07513-1535
(973) 652-3057

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
NJ

Other

Enumeration date
05/13/2021
Last updated
05/13/2021
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