Individual
JOHNATHAN ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1016 CORRALITOS RD, ROSWELL, NM 88201-9163
(575) 914-4332
Mailing address
1016 CORRALITOS RD, ROSWELL, NM 88201-9163
(575) 914-4332
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/03/2020
Last updated
04/03/2020
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