Ortiz, Jennifer

Ortiz, Jennifer is an individual health care provider with primary practice located at 41 W Summit St Apt 54 , South Hadley MA 01075-2773. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Ortiz, Jennifer can be contacted via phone (413) 386-0101.

Contact Information

Primary practice address
41 W Summit St Apt 54 South Hadley MA 01075-2773
Phone: (413) 386-0101
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1669877767
LBN Legal business name Ortiz, Jennifer
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2014
Last updated Jun 20th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669877767 NPPES
Massachusetts MEDICAID 100005792261

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