Vanessa Portillo
Behavior Technician in Gardena, CA. Individual provider (NPI-1).
NPI number1649037367
StatusActive
Last updated in NPPESFeb 28, 2024
Details
- NPI
- 1649037367
- Entity type
- Individual (NPI-1)
- Name
- Vanessa Portillo
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 28, 2024
- Certification date
- Feb 28, 2024
- Last updated
- Feb 28, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1508 W Artesia Sq Apt BGardena, CA 90248-4773
Phone 800-249-1266
Mailing address
1301 E Orangewood AveAnaheim, CA 92805-6807
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