John Mortensen, BCABA

Behavior Analyst · Orange Park, FL

Individual Active NPI

NPI number 1609315225

Practice location

175 Industrial Loop S
Orange Park, FL 32073-6217
Phone
(904) 269-0773
Fax
(904) 269-9667

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NPI record

NPI
1609315225
Entity type
Individual (Type 1)
Enumeration date
February 15, 2017
Last updated
February 15, 2017
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X 0-03-0899 FL

About John Mortensen

John Mortensen, BCABA is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 175 Industrial Loop S, Orange Park, FL 32073-6217. The NPI number 1609315225 was assigned on February 15, 2017 and the record was last updated on February 15, 2017.

John Mortensen lists a license in the registry: #0-03-0899 (FL) for Behavior Analyst. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of John Mortensen, BCABA?

The NPI number is 1609315225.

What is the phone number of John Mortensen?

The phone number listed for the practice location is (904) 269-0773.

Where is John Mortensen located?

175 Industrial Loop S, Orange Park, FL 32073-6217.

What is the taxonomy code for John Mortensen?

The primary taxonomy code is 103K00000X – Behavior Analyst.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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