Individual
D'MONIQUE ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
218 PARK ST, GRIFFIN, GA 30223-1291
(470) 743-7100
Mailing address
218 PARK ST, GRIFFIN, GA 30223-1291
(973) 444-2204
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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