MEDICARE: GUADALUPE ORTIZ LEON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106E00000X	Assistant Behavior Analyst

General Provider Information

NPI Number	:	1144166133
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GUADALUPE ORTIZ LEON

Provider Business Mailing Address
First Line	:	27555 MARTA LN APT 103
Second Line	:
City	:	CANYON COUNTRY
State	:	CA
Zip	:	91387-6557
Country	:	US
Telephone Number	:	805-936-0241
Fax Number	:

Provider Business Practice Location Address
First Line	:	22800 LYONS AVE
Second Line	:
City	:	NEWHALL
State	:	CA
Zip	:	91321-6800
Country	:	US
Telephone Number	:	805-936-0241
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2026
Last Update Date	:	04/24/2026

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Directions to “ GUADALUPE ORTIZ LEON ” Practice Location

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