Provider Demographics
NPI:1821531724
Name:ORTIZ, ERIKA (MS, BCBA)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:ORTIZ
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 1:10225 BEVIS AVE
Mailing Address - Street 2:
Mailing Address - City:MISSION HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91345-2803
Mailing Address - Country:US
Mailing Address - Phone:323-202-5163
Mailing Address - Fax:
Practice Address - Street 1:10225 BEVIS AVE
Practice Address - Street 2:
Practice Address - City:MISSION HILLS
Practice Address - State:CA
Practice Address - Zip Code:91345-2803
Practice Address - Country:US
Practice Address - Phone:323-202-5163
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-23
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-14-15223103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst