Ivan Ortega Manso
NPI #1043032113 in Gainesville, Florida
Provider Information
- NPI Number
- 1043032113
- Entity Type
- Individual
- Name
- Ivan Ortega Manso
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Oct 29, 2024
- Last Updated
- Oct 31, 2024
Practice Location
- Address
- 3353 NW 25TH TER
- City
- Gainesville
- State
- Florida
- ZIP Code
- 32605-2292
- Phone
- (352) 665-1174
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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