Sophia Portillo-Lopez
Behavior Technician in Canoga Park, CA. Individual provider (NPI-1).
NPI number1063195022
StatusActive
Last updated in NPPESAug 8, 2023
Details
- NPI
- 1063195022
- Entity type
- Individual (NPI-1)
- Name
- Sophia Portillo-Lopez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 8, 2023
- Certification date
- Aug 8, 2023
- Last updated
- Aug 8, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
21201 Victory Blvd Ste 205Canoga Park, CA 91303-4056
Phone 888-428-3223
Mailing address
4221 Wilshire Blvd Ste 300aLos Angeles, CA 90010-3537
Phone 888-428-3223 · Fax 323-866-1881
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All 1,484 Behavior Technician providers in Canoga Park · All 2,647 providers in Canoga Park
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