Healthcare Provider Details

I. General information

NPI: 1598330789
Provider Name (Legal Business Name): ALEJANDRA ORTIZ M.A., BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2021
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

888 EASTON AVE
SOMERSET NJ
08873-1898
US

IV. Provider business mailing address

888 EASTON AVE
SOMERSET NJ
08873-1898
US

V. Phone/Fax

Practice location:
  • Phone: 888-244-5373
  • Fax:
Mailing address:
  • Phone: 888-244-5373
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-20-145802
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-24-71739
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: