Individual
MELISSA ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 13287, SAN LUIS, AZ 85349-6909
(928) 315-8837
Mailing address
PO BOX 13287, SAN LUIS, AZ 85349-6909
(928) 315-8837
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/03/2025
Last updated
12/03/2025
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