Individual
RUBY LOPEZ ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7600 UTAH AVE, BULDING 744, FORT POLK, LA 71459
(337) 302-5923
Mailing address
7600 UTAH AVE, BULDING 744, FORT POLK, LA 71459
(318) 445-6443
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/02/2026
Last updated
07/29/2026
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