Active NPI
Courtney Ortiz, BCABA, LABA
- Assistant Behavior Analyst
- Midlothian, VA
National Provider Identifier
1265044929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- License
- 0134000326
- Practice address
- 2820 Waterford Lake Dr
Midlothian, VA 23112-3994 - Phone
- (804) 658-4509
- NPI assigned
- Aug 23, 2020
- Last updated
- Feb 4, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | 0134000326 | VA | Primary |
Addresses
Primary practice location
2820 Waterford Lake Dr
Midlothian, VA 23112-3994
Mailing address
2820 Waterford Lake Dr Ste 102
Midlothian, VA 23112-3994
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0134000326 | VA | MD | Assistant Behavior Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Insight Inc | Assistant Behavior Analyst | Current | Accepting new patients |
Locations
2820 Waterford Lake Dr
Ste 102
Midlothian, VA 23112
Phone (804) 372-3473
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612396800000",
"number": "1265044929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2820 WATERFORD LAKE DR STE 102",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231123994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2820 WATERFORD LAKE DR",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231123994",
"telephone_number": "804-658-4509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "COURTNEY",
"credential": "BCABA, LABA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-23",
"last_updated": "2021-02-04",
"certification_date": "2021-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "VA",
"license": "0134000326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midlothian, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.