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1104497064
SAMANTHA ORTIZ
COVINA, CA
NPI
1104497064
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: CA BACB482014)
Enumeration Date
2021-07-01
Last Update Date
2021-07-01
Business Address
SAMANTHA ORTIZ BCBA
1274 CENTER COURT DR STE 211
COVINA, CA 91724-3668
Phone number: 909-767-2148
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Mailing Address
SAMANTHA ORTIZ BCBA
17065 FARWELL ST
FONTANA, CA 92336-1569
Phone number: 909-767-2148
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