Individual
CORINA ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA IS PSYCHOLOGY
Contact information
Practice address
1218 GRIEGOS RD NW, ALBUQUERQUE, NM 87107-3752
(505) 832-9322
(505) 832-9326
Mailing address
1218 GRIEGOS RD NW, ALBUQUERQUE, NM 87107-3752
(505) 832-9322
(505) 832-9326
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/15/2010
Last updated
12/15/2010
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