Individual
MICHELLE DAEL ORTIZ BARRANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 W TOWN AND COUNTRY RD STE 1250, ORANGE, CA 92868-4633
(949) 357-2556
(855) 568-2494
Mailing address
1820 W ORANGEWOOD AVE STE 110, ORANGE, CA 92868-5056
(714) 696-2862
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/08/2021
Last updated
07/21/2022
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