Individual
EMILY ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 GALLOPING HILL RD STE 205, UNION, NJ 07083-7980
(908) 686-1505
Mailing address
124 DELAFIELD AVE, LYNDHURST, NJ 07071-1435
(201) 893-0201
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-102139
NJ
Other
Enumeration date
03/04/2020
Last updated
03/04/2020
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