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NPI Code Detail

MEDICARE: MRS. KRISTINE JOY CORTEZ

MEDICARE: MRS. KRISTINE JOY CORTEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst
2103K00000XBehavior Analyst1-19-36292GA

General Provider Information

NPI Number : 1285001701
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KRISTINE JOY CORTEZ
Provider Business Mailing Address
First Line : 300 INTERNATIONAL PKWY STE 200
Second Line :
City : LAKE MARY
State : FL
Zip : 32746-5028
Country : US
Telephone Number : 310-987-5009
Fax Number :
Provider Business Practice Location Address
First Line : 100 BULL ST STE 200
Second Line :
City : SAVANNAH
State : GA
Zip : 31401-3378
Country : US
Telephone Number : 470-740-7040
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2015
Last Update Date : 02/13/2025

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Directions to “ MRS. KRISTINE JOY CORTEZ ” Practice Location

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