Healthcare Provider Details

I. General information

NPI: 1144166133
Provider Name (Legal Business Name): GUADALUPE ORTIZ LEON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 04/24/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22800 LYONS AVE
NEWHALL CA
91321-6800
US

IV. Provider business mailing address

27555 MARTA LN APT 103
CANYON COUNTRY CA
91387-6557
US

V. Phone/Fax

Practice location:
  • Phone: 805-936-0241
  • Fax:
Mailing address:
  • Phone: 805-936-0241
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: