Provider Demographics
NPI:1902436942
Name:ORTIZ, YVETT B
Entity Type:Individual
Prefix:
First Name:YVETT
Middle Name:B
Last Name:ORTIZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18375 MEADOW RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93907-1643
Mailing Address - Country:US
Mailing Address - Phone:831-578-9260
Mailing Address - Fax:
Practice Address - Street 1:18375 MEADOW RIDGE RD
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93907-1643
Practice Address - Country:US
Practice Address - Phone:831-578-9260
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-17
Last Update Date:2020-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician