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NPI Code Detail

MEDICARE: MELISSA ORTEGA

MEDICARE:   MELISSA  ORTEGA
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1396608725
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA ORTEGA
Provider Business Mailing Address
First Line : PO BOX 13287
Second Line :
City : SAN LUIS
State : AZ
Zip : 85349-6909
Country : US
Telephone Number : 928-315-8837
Fax Number :
Provider Business Practice Location Address
First Line : PO BOX 13287
Second Line :
City : SAN LUIS
State : AZ
Zip : 85349-6909
Country : US
Telephone Number : 928-315-8837
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2025
Last Update Date : 12/03/2025

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Directions to “ MELISSA ORTEGA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.