Active NPI
Iliana Monica Ortiz
- Behavior Technician
- Burbank, CA
National Provider Identifier
1467012948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- F5522316
- Practice address
- 1201 S Victory Blvd
Burbank, CA 91502-2552 - Phone
- (747) 257-0301
- NPI assigned
- Jun 18, 2019
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | F5522316 | CA | Primary |
Addresses
Primary practice location
1201 S Victory Blvd
Burbank, CA 91502-2552
Mailing address
1201 S Victory Blvd
Burbank, CA 91502-2552
Phone (747) 257-0301
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 |
|---|---|---|---|
| F5522316 | CA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560816000000",
"number": "1467012948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 S VICTORY BLVD",
"city": "BURBANK",
"state": "CA",
"postal_code": "915022552",
"telephone_number": "747-257-0301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 S VICTORY BLVD",
"city": "BURBANK",
"state": "CA",
"postal_code": "915022552",
"telephone_number": "747-257-0301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "ILIANA",
"middle_name": "MONICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-18",
"last_updated": "2019-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "F5522316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.