Jesse Portillo
Jesse Portillo is a Behavior Technician in Irvine, California. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
18008 Sky Park Cir Ste 110Irvine, CA 92614-6434
Phone: (949) 474-1493
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1992343446 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 16, 2019 |
| Last updated in NPPES | December 16, 2019 |
| Certification date | December 16, 2019 |
| Mailing address | 18008 Sky Park Cir Ste 110, Irvine, CA 92614-6434 |
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