Individual
MR. AUDIO ANTONIO ORTIGOZA SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2420 LAKEY CV, LEANDER, TX, 78641, LEANDER, TX 78641
(914) 648-1814
Mailing address
2420 LAKEY CV, LEANDER, TX, 78641, LEANDER, TX 78641
(914) 648-1814
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-23-263706
TX
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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