Mariela Ortiz

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

20122869 Issued in FL

Practice address

4645 Carthage Cir S
Lake Worth, FL 33463-7245

Phone

(305) 340-1391

NPI assigned

Jun 29, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 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": "1593388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1679190458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4645 CARTHAGE CIR S",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334637245",
            "telephone_number": "305-340-1391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4645 CARTHAGE CIR S",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334637245",
            "telephone_number": "305-340-1391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "MARIELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-29",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "20122869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106S00000X",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Orthopaedic Spine & Fracture Clinic
• Orthopedic & Spine Specialists of the Palm Beaches LLC
• Orthopedic Center of Palm Beach County, Inc.
• Orthotic & Prosthetic Centers, Inc.
• Giovanna Ortiz, APRN
• Kemper S. Orton, LMHC, NCC
• Iliana Rosa Otero
• Jacqueline Ouellette
• Nadege Ovilmar
• P D Lab Inc

• Behavior Technician in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; 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.