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Graciella Ortega

Behavior Technician in Belleview, FL. Individual provider (NPI-1).

NPI number1043748643
StatusActive
Last updated in NPPESMay 25, 2017

Details

NPI
1043748643
Entity type
Individual (NPI-1)
Name
Graciella Ortega
Sex
Female
Sole proprietor
No
Enumeration date
May 25, 2017
Last updated
May 25, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

10252 Se Us Highway 441 # 3
Belleview, FL 34420-6819

Phone 352-559-2539 · Fax 352-547-5787

Mailing address

10252 Se Us Highway 441 # 3
Belleview, FL 34420-6819

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