Individual
AMANDA JANETTE ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
60 GAYWOOD AVE, COLONIA, NJ 07067-2020
(973) 902-1495
Mailing address
60 GAYWOOD AVE, COLONIA, NJ 07067-2020
(973) 902-1495
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-53802
NJ
103K00000X
Behavior Analyst
Primary
15BC00254000
NJ
Other
Enumeration date
06/25/2015
Last updated
04/24/2026
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