Healthcare Provider Details

I. General information

NPI: 1801430996
Provider Name (Legal Business Name): JAHZEEL DAFNE ORTEGA SABORY BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/31/2019
Last Update Date: 12/30/2025
Certification Date: 12/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1695 W 24TH ST
YUMA AZ
85364-6205
US

IV. Provider business mailing address

1974 S 17TH AVE
YUMA AZ
85364-5355
US

V. Phone/Fax

Practice location:
  • Phone: 928-318-2135
  • Fax:
Mailing address:
  • Phone: 831-265-9070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: