Individual
TAYLOR ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LBA
Contact information
Practice address
120 WEBSTER SQUARE RD, BERLIN, CT 06037-2329
(860) 420-3800
Mailing address
27 MARC DR, WALLINGFORD, CT 06492-5708
(203) 631-9061
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
510
CT
Other
Enumeration date
04/22/2019
Last updated
08/15/2023
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