Individual
AMPARO ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16420 SW 109TH AVE, MIAMI, FL 33157-2815
(305) 834-1450
Mailing address
16420 SW 109TH AVE, MIAMI, FL 33157-2815
(305) 834-1450
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-136419
FL
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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