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Beverly Jissell Ortega

Behavior Technician in Santa Ana, CA. Individual provider (NPI-1).

NPI number1073431680
StatusActive
Last updated in NPPESJul 9, 2026

Details

NPI
1073431680
Entity type
Individual (NPI-1)
Name
Beverly Jissell Ortega
Sex
Female
Sole proprietor
No
Enumeration date
Jul 9, 2026
Certification date
Jul 9, 2026
Last updated
Jul 9, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician–CAYes

Practice location

555 Parkcenter Dr Ste 115
Santa Ana, CA 92705-3521

Phone 714-310-4377

Mailing address

555 Parkcenter Dr Ste 115
Santa Ana, CA 92705-3521

Phone 714-310-4377

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