Jennifer Stacie Orunmoluyi, BCABA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

3876 Hawkins St NE
Albuquerque, NM 87109-4539

Phone

(505) 508-5627

NPI assigned

Jul 15, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bridges,Inc.

  • Developmentally Disabled Services Day Training Agency
  • Albuquerque, NM
  • NPI 1306278734
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1083098552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3876 HAWKINS ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094539",
            "telephone_number": "505-508-5627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3876 HAWKINS ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094539",
            "telephone_number": "505-508-5627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8920 Holly Ave NE Ste 102B",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871222989",
            "country_code": "US",
            "telephone_number": "505-856-6880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Marquette Ave NW Ste 1200",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871025312",
            "country_code": "US",
            "telephone_number": "855-832-6727",
            "fax_number": "772-675-9100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORUNMOLUYI",
        "first_name": "JENNIFER",
        "middle_name": "STACIE",
        "credential": "BCABA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-15",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacie Angela Ortiz, LISW
• Vanessa Elena Ortiz, LPCC
• Yoenesha Ortiz Jr.
• Sarah B Ortmann, RPH
• Vincent Ortolano, M.D.
• Briana Orwix, LMSW
• Osalta LLC
• Ian Charles Osborn, MD
• Sharon Osborn, BA
• Tresa Osborne, RN

• Behavior Analyst in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Behavior Analyst in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.