Individual
KAYLA ROSE ORTEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6200 MONTANO PLAZA DR NW APT 2118, ALBUQUERQUE, NM 87120-5782
(505) 699-5509
Mailing address
6200 MONTANO PLAZA DR NW APT 2118, ALBUQUERQUE, NM 87120-5782
(505) 699-5509
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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