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Individual

BREANNA ORTIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1822 SPRING GARDEN ST, PHILADELPHIA, PA 19130-4122
(844) 244-1818
Mailing address
2110 W NORRIS ST, PHILADELPHIA, PA 19121-2100
(267) 628-6003
(267) 628-6003

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
04/30/2025
Last updated
04/30/2025
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