Individual
MS. JENNIFER ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41 W SUMMIT ST APT 54, SOUTH HADLEY, MA 01075-2773
(413) 386-0101
Mailing address
41 W SUMMIT ST APT 54, SOUTH HADLEY, MA 01075-2773
(413) 386-0101
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100005792261
—
MA
Enumeration date
10/31/2014
Last updated
06/20/2023
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