Individual
ALEXLY DIAHANN ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
730 SAND LAKE RD, ORLANDO, FL 32809-7750
(407) 412-6114
Mailing address
14347 BOGGY CREEK RD APT 406, ORLANDO, FL 32824-9261
(407) 412-6114
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
6474445
PR
Other
Enumeration date
04/10/2026
Last updated
04/10/2026
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