Grace Alexandra Ortegon
Behavior Technician in San Antonio, TX. Individual provider (NPI-1).
NPI number1871237669
StatusActive
Last updated in NPPESApr 26, 2022
Details
- NPI
- 1871237669
- Entity type
- Individual (NPI-1)
- Name
- Grace Alexandra Ortegon
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 26, 2022
- Certification date
- Apr 26, 2022
- Last updated
- Apr 26, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
5522 Lone Star Pkwy Ste 101San Antonio, TX 78253-6719
Phone 210-670-8028
Mailing address
5522 Lone Star Pkwy Ste 101San Antonio, TX 78253-6719
Phone 210-670-8028
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