Yanexis Portilla
Behavior Analyst in North Port, FL. Individual provider (NPI-1).
NPI number1669997169
StatusActive
Last updated in NPPESJun 2, 2025
Details
- NPI
- 1669997169
- Entity type
- Individual (NPI-1)
- Name
- Yanexis Portilla
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 7, 2017
- Certification date
- Jun 2, 2025
- Last updated
- Jun 2, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
5551 Reisterstown RdNorth Port, FL 34291-4708
Phone 239-286-8242
Mailing address
5551 Reisterstown RdNorth Port, FL 34291-4708
Phone 239-286-8242
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