Rodolfo Ivan Ortiz

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

5940 Issued in TX

Practice address

1 Utsa Cir
San Antonio, TX 78249-1644

Phone

(210) 458-4011

NPI assigned

Apr 27, 2021

Last updated

Jan 6, 2025By 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 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1457933608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 W KEARNEY ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780402504",
            "telephone_number": "956-290-7674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 UTSA CIR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782491644",
            "telephone_number": "210-458-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "RODOLFO",
        "middle_name": "IVAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-27",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "5940",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "RBT-19-101539",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rodolfoortiz@vabastx.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Utsa Cir",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782491644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Patricio Roman Ortiz, LPC ASSOCIATE
• Rebecca Ortiz, R.N
• Rebekah Kathleen Ortiz
• Rene Ortiz, SA-C
• Richard Rene Ortiz, O.D.
• Rosamaria Ortiz, APN
• Rosario Ortiz
• Sarah Ortiz
• Sharon Ortiz, LPC
• Stephanie Ortiz, FNP

• Behavior Analyst in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.