Individual
ANDREA M ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 KRAMER LN STE 150, AUSTIN, TX 78758-4096
(512) 572-0157
Mailing address
2100 KRAMER LANE, SUITE 150, AUSTIN, TX 78758
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-65416
TX
Other
Enumeration date
05/31/2021
Last updated
05/03/2023
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