Individual
ALYSSA ORTEGON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 GABRIELS BLUFF DR, GEORGETOWN, TX 78626-2597
(512) 574-6301
Mailing address
1 GABRIELS BLUFF DR APT 8110, GEORGETOWN, TX 78626-1881
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/16/2021
Last updated
04/16/2021
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