CASEY PORTILLO
Behavior Technician
Active
Individual
NPI: 1114638152
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Behavior Technician | 106S00000X | Yes | - |
Frequently Asked Questions
NPI 1114638152 is the National Provider Identifier for CASEY PORTILLO, a Behavior Technician provider located in Pomona, CA. This NPI was enumerated on December 12, 2022.
CASEY PORTILLO practices at 21 RANCHO CAMINO DR STE 106, Pomona, CA 91766.
Quick Facts
- NPI
- 1114638152
- Type
- Individual
- Enumerated
- Dec 12, 2022
- Last Updated
- Dec 12, 2022
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