Individual
SAMANTHA ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
975 E WARNER RD, TEMPE, AZ 85284-3232
(602) 340-8717
Mailing address
300 N 18TH ST, PHOENIX, AZ 85006-4103
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-83764
AZ
103T00000X
Psychologist
BEH-001831
AZ
Other
Enumeration date
03/18/2026
Last updated
03/18/2026
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