Justin Ricardo Ortiz, M.S., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

2021-052 Issued in AL

Practice address

200 Cahaba Park Cir Ste 116
Birmingham, AL 35242-5041

Phone

(205) 253-6903

Fax

(855) 380-3591

NPI assigned

Jun 27, 2021

Last updated

Jun 27, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Assent Behavioral Services LLC

  • Behavior Analyst
  • Gadsden, AL
  • NPI 1568252716
  NPD Authorized official
• Milestones Behavior Group

  • Community/Behavioral Health Agency
  • Vestavia, AL
  • NPI 1770977415
  NPD (past)

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

{
    "created_epoch": "1624752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624752000000",
    "number": "1306416938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7030 ALEXANDRIA JACKSONVLE HWY APT 52",
            "city": "JACKSONVILLE",
            "state": "AL",
            "postal_code": "362655632",
            "telephone_number": "205-363-1862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CAHABA PARK CIR STE 116",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352425041",
            "telephone_number": "205-253-6903",
            "fax_number": "855-380-3591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "JUSTIN",
        "middle_name": "RICARDO",
        "credential": "M.S., BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-27",
        "last_updated": "2021-06-27",
        "certification_date": "2021-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AL",
            "license": "2021-052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orthosports Associates, LLC
• Orthosports Associates, LLC
• Orthotic Solutions, Inc.
• Scott Ortis
• Victor Manuel Ortiz-Soriano, MD
• Mark Richard Ortiz, OD
• William Ortiz
• Sharnice Orum
• Cody Alexander Orvin, MD
• Michelle Angelica Ball Osala, PHARMD

• Behavior Analyst in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Behavior Analyst in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.

Verify at the official NPI Registry.