Most Relevant Information
Provider Data
| NPI Number: | 1003555913 |
| Provider Name: | LISMARIE REYES-ORTEGA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/31/2022 |
| Last Updated: | 05/31/2022 |
Provider Practice Location
5900 W CHESTER RD STE C
WEST CHESTER
OH
450692951
Practice Location Phone/Fax
| Phone: | 1513777242 |
| Fax: |
Provider Mailing Location
5900 W CHESTER RD STE C
WEST CHESTER
OH
450692951
Provider Mailing Phone/Fax
| Phone: | 1513777242 |
| Fax: |