Individual
ASHLEY ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
340 S LIBERTY ST, ORWIGSBURG, PA 17961-2110
(570) 366-1154
Mailing address
381 HOTEL ST, POTTSVILLE, PA 17901-3513
(570) 294-2831
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BH006235
PA
Other
Enumeration date
11/22/2023
Last updated
11/22/2023
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