Provider Demographics
NPI:1467714071
Name:ORTEGA, RIKA (MS, BCBA)
Entity Type:Individual
Prefix:
First Name:RIKA
Middle Name:
Last Name:ORTEGA
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4129 46TH ST
Mailing Address - Street 2:APT 4A
Mailing Address - City:SUNNYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11104-1873
Mailing Address - Country:US
Mailing Address - Phone:347-624-4517
Mailing Address - Fax:
Practice Address - Street 1:4129 46TH ST
Practice Address - Street 2:APT 4A
Practice Address - City:SUNNYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11104-1873
Practice Address - Country:US
Practice Address - Phone:347-624-4517
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-10
Last Update Date:2016-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1938549174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist