Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mateo Ezequiel Ortiz Cuesta

Individual provider Day Training/Habilitation Specialist · NPI 1104639178

Mateo Ezequiel Ortiz Cuesta is a Day Training/Habilitation Specialist in Fort Bragg, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

101 N Franklin St
Fort Bragg, CA 95437-3602
Phone: (707) 941-0859
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Day Training/Habilitation Specialist (primary) Taxonomy 373H00000X

Record details

NPI number1104639178
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 31, 2025
Last updated in NPPESApril 22, 2025
Certification dateApril 22, 2025

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