Sofia Patricia Ortiz

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-25-82884 Issued in NC

Practice address

447 Venture Dr Ste D
Smithfield, NC 27577-4765

Phone

(704) 703-8588

Fax

(704) 703-8588

NPI assigned

Jul 22, 2021

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1841863206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 VENTURE DR STE D",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774765",
            "telephone_number": "704-703-8588",
            "fax_number": "317-520-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 VENTURE DR STE D",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774765",
            "telephone_number": "704-703-8588",
            "fax_number": "704-703-8588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 Smithtown Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300246560",
            "country_code": "US",
            "telephone_number": "470-632-4990",
            "fax_number": "317-520-8200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "SOFIA",
        "middle_name": "PATRICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-22",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "1-25-82884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diab S Omer, MD
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• Maame Oppong
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• Abigail Osborn, DPT
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• Stacey Lynn Owens
• William Lewis Packer, MD
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• Behavior Analyst in Smithfield, NC
• Providers in Smithfield, NC by specialty
• Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.