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1366064040
JONATHAN DAVID ORTIZ
FORT LAUDERDALE, FL
NPI
1366064040
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-05-15
Last Update Date
2020-05-15
Business Address
Mr. JONATHAN DAVID ORTIZ
1717 SE 4 AVE
FORT LAUDERDALE, FL 33316
Phone number: 954-513-8404
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Mailing Address
Mr. JONATHAN DAVID ORTIZ
7830 NW 3RD ST # 6-103
PEMBROKE PINES, FL 33024-1200
Phone number: 954-618-8236
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