Jicelle Ortega Emigdio

NPI #1003595042 in Phoenix, Arizona

Provider Information

NPI Number: 1003595042
Entity Type: Individual
Name: Jicelle Ortega Emigdio
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 17, 2023
Last Updated: Jul 17, 2023

Practice Location

Address: 2400 W DUNLAP AVE
City: Phoenix
State: Arizona
ZIP Code: 85021-2817
Phone: (602) 325-2485

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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