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Individual

MRS. ALBA MARIA ORTEGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1304 NW 126TH AVE, SUNRISE, FL 33323-5131
(786) 353-8345
Mailing address
1304 NW 126TH AVE, SUNRISE, FL 33323-5131
(786) 353-8345

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-21-180185
FL
222Q00000X
Developmental Therapist
Primary
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
111472800
FL
Enumeration date
01/10/2022
Last updated
01/24/2023
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