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NPI Code Detail

MEDICARE: CHERYL MARINA ORTIZ RBT,CCMA

MEDICARE:   CHERYL MARINA ORTIZ  RBT,CCMA
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 : 1689532764
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHERYL MARINA ORTIZ RBT,CCMA
Provider Business Mailing Address
First Line : 10609 MONTE BELLO CT NW
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87114-3884
Country : US
Telephone Number : 407-310-5504
Fax Number :
Provider Business Practice Location Address
First Line : 10609 MONTE BELLO CT NW
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87114-3884
Country : US
Telephone Number : 407-310-5504
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2026
Last Update Date : 01/15/2026

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Directions to “ CHERYL MARINA ORTIZ RBT,CCMA” Practice Location

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