Most Relevant Information
Provider Data
NPI Number: | 1003539669 |
Provider Name: | TRACI ORTIZ CONDER |
Entity Type: | Individual |
Taxonomy Code: | 106S00000X |
Specialty: | Behavior Technician |
License Number: |
Most Important Dates
Enumeration Date: | 09/20/2022 |
Last Updated: | 09/20/2022 |
Provider Practice Location
133 WINDY MEADOWS DR STE 101
SCHERTZ
TX
781541543
Practice Location Phone/Fax
Phone: | 2104470039 |
Fax: |
Provider Mailing Location
6222 W IH 10 STE 104
SAN ANTONIO
TX
782012013
Provider Mailing Phone/Fax
Phone: | 2104470039 |
Fax: |