Individual
JESSICA ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
435 ORANGE SHOW LN STE 107, SAN BERNARDINO, CA 92408-2016
(909) 371-1039
Mailing address
17216 SATICOY ST # 141, VAN NUYS, CA 91406-2103
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
01/29/2018
Last updated
08/08/2022
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