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Individual

AMBER OLSON ORTIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6910 S HIGHLAND DR, COTTONWOOD HEIGHTS, UT 84121-3060
(801) 856-0457
Mailing address
187 E LARIAT DR, SIGURD, UT 84657-7762

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
106S00000X
ALTERNATE BEHAVIOR STRATEGIES
Enumeration date
08/14/2020
Last updated
08/14/2020
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