Provider Demographics
NPI:1083404545
Name:ORTIZ, LAYLANI (RBT)
Entity type:Individual
Prefix:
First Name:LAYLANI
Middle Name:
Last Name:ORTIZ
Suffix:
Gender:
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7789 S SENTINAL STONE DR
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85756-8326
Mailing Address - Country:US
Mailing Address - Phone:520-440-9559
Mailing Address - Fax:
Practice Address - Street 1:8235 N SILVERBELL RD STE 175
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85743-7379
Practice Address - Country:US
Practice Address - Phone:520-540-4998
Practice Address - Fax:520-244-1247
Is Sole Proprietor?:No
Enumeration Date:2025-05-08
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRBT-25-430690106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician