Paul Portis, RBT
Behavior Technician in Twentynine Palms, CA. Individual provider (NPI-1).
NPI number1366090912
StatusActive
Last updated in NPPESAug 27, 2019
Details
- NPI
- 1366090912
- Entity type
- Individual (NPI-1)
- Name
- Paul Portis
- Credential
- RBT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 27, 2019
- Last updated
- Aug 27, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-19-97226 | CA | Yes |
Practice location
5393 Lupine AveTwentynine Palms, CA 92277-1471
Phone 442-241-4299
Mailing address
5393 Lupine AveTwentynine Palms, CA 92277-1471
Phone 442-241-4299
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All 13 Behavior Technician providers in Twentynine Palms · All 355 providers in Twentynine Palms
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