Individual
MARCO ANTONIO ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.A.
Contact information
Practice address
302 E MONTE VISTA RD APT C1, PHOENIX, AZ 85004-1457
(323) 698-4138
Mailing address
302 E MONTE VISTA RD APT C1, PHOENIX, AZ 85004-1457
(323) 698-4138
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-000451
AZ
Other
Enumeration date
07/04/2016
Last updated
04/16/2019
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