Individual provider Active NPI

Ana Isabel Ortega, BCBA

  • Behavior Analyst
  • San Antonio, TX
National Provider Identifier
1801149042
Registry record updated Jan 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-12-12352 Issued in TX
Practice address
20627 Saddle CP
San Antonio, TX 78259-2088
Phone
(915) 497-3598
Fax
(866) 811-2590
NPI assigned
Oct 25, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-12-12352 TX Primary

Addresses

Primary practice location

20627 Saddle CP
San Antonio, TX 78259-2088

Mailing address

20627 Saddle CP
San Antonio, TX 78259-2088
Phone (915) 497-3598

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

Practice roles

OrganizationSpecialtyStatusNew patients
Promise Center for Autism, LLC Behavior Analyst Current Accepting new patients

Locations

7254 Blanco Rd
Ste 100
San Antonio, TX 78216
Phone (210) 598-7212

3700 Ridge Country St
San Antonio, TX 78247
Phone (210) 598-7212

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389571200000",
    "number": "1801149042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20627 SADDLE CP",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782592088",
            "telephone_number": "915-497-3598",
            "fax_number": "866-811-2590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20627 SADDLE CP",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782592088",
            "telephone_number": "915-497-3598",
            "fax_number": "866-811-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTEGA",
        "first_name": "ANA",
        "middle_name": "ISABEL",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-25",
        "last_updated": "2014-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1-12-12352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2014; 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.