Individual
ANAIS ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1143 WEST AVE SW, CONYERS, GA 30012-5280
(888) 329-4535
Mailing address
2116 WINDSOR DR, SNELLVILLE, GA 30078-2540
(678) 791-5637
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
GA
Other
Enumeration date
03/15/2024
Last updated
03/15/2024
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