MEDICARE: JAHZEEL DAFNE ORTEGA SABORY BCBA

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	103K00000X	Behavior Analyst	BHV-010441	TX
2	103K00000X	Behavior Analyst	BEH-001913	AZ

General Provider Information

NPI Number	:	1801430996
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAHZEEL DAFNE ORTEGA SABORY BCBA

Provider Business Mailing Address
First Line	:	1974 S 17TH AVE
Second Line	:
City	:	YUMA
State	:	AZ
Zip	:	85364-5355
Country	:	US
Telephone Number	:	831-265-9070
Fax Number	:

Provider Business Practice Location Address
First Line	:	1974 S 17TH AVE
Second Line	:
City	:	YUMA
State	:	AZ
Zip	:	85364-5355
Country	:	US
Telephone Number	:	831-265-9070
Fax Number	:

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

Provider Enumeration Date	:	10/31/2019
Last Update Date	:	06/17/2026

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