Individual
TERESA ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7108 S KANNER HWY, STUART, FL 34997-7462
(855) 832-6727
Mailing address
321 CYPRESS AVE, LINDENWOLD, NJ 08021-2208
(856) 316-9353
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
NJ
106E00000X
Assistant Behavior Analyst
Primary
—
NJ
106E00000X
Assistant Behavior Analyst
—
—
Other
Enumeration date
02/06/2023
Last updated
10/18/2023
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