Individual
BRENDA ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13201 SW 265TH ST, HOMESTEAD, FL 33032-7703
(786) 385-5478
Mailing address
13201 SW 265TH ST, HOMESTEAD, FL 33032-7703
(786) 385-5478
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-64827
FL
106S00000X
Behavior Technician
RBT-21-186045
FL
2355S0801X
Speech-Language Assistant
4199
FL
Other
Enumeration date
01/06/2021
Last updated
04/04/2023
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